Active NPI
Jack Dale Adrian, DC
- Chiropractor
- Troy, OH
National Provider Identifier
1992881551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 912
- Practice address
- 2850 S County Road 25a
Troy, OH 45373-9312 - Phone
- (937) 339-5556
- Fax
- (937) 339-5550
- NPI assigned
- Oct 27, 2006
- Last updated
- May 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 912 | OH | Primary |
Addresses
Primary practice location
2850 S County Road 25a
Troy, OH 45373-9312
Mailing address
2850 S County Road 25a
Troy, OH 45373-9312
Phone (937) 339-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912 | OH | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1992881551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 S COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453739312",
"telephone_number": "937-339-5556",
"fax_number": "937-339-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 S COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453739312",
"telephone_number": "937-339-5556",
"fax_number": "937-339-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "JACK",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.