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BEAVERCREEK CHIROPRACTIC CLINIC INC
NPI 1073713533
Chiropractor in Beavercreek, OH

Active since July 23, 2007
1654 MARDON DR, BEAVERCREEK, OH 45432(937) 426-9265(937) 426-9613 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beavercreek Chiropractic Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVERCREEK CHIROPRACTIC CLINIC INC (NPI 1073713533), doing business as Beavercreek Chiropractic Clinic, is a healthcare organization registered as a chiropractor in Beavercreek, Ohio and active in the NPI registry since July 2007. The organization lists Gregory P Palkowski, President, as its authorized official.

NPPES Registry Identity

NPI1073713533
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEAVERCREEK CHIROPRACTIC CLINIC INC
Location Address1654 MARDON DRBeavercreek, OH 45432-1949
Mailing Address1654 Mardon DrBeavercreek, OH 45432-1949 · (937) 426-9265 · Fax (937) 426-9613
Phone(937) 426-9265
Fax(937) 426-9613
Organization SubpartNo
Authorized OfficialGregory P PalkowskiPresident · (937) 426-9265
Enumeration DateJuly 23, 2007
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1073713533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in OH · 905✔ Licensed in OH · 3166
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1654 MARDON DR, Beavercreek, OH 45432
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Other Names 1

Former Legal Business NameBeavercreek Chiropractic Clinic

Other Identifiers 5

Medicare PIN9316721OH
Medicare PIN0523953OH
Medicare UPIN47721OH
Medicare PIN4054141OH
Medicare UPIN85636OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beavercreek Chiropractic Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beavercreek Chiropractic Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Palkowski, DC
Chiropractic
NPI 1356444566
1654 MARDON DR
Beavercreek, OH 45432
(937) 426-9265
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beavercreek Chiropractic Clinic Inc's NPI number?

The NPI number for Beavercreek Chiropractic Clinic Inc is 1073713533. It was assigned to this organization in the NPPES registry on July 23, 2007. The provider was formerly known as Beavercreek Chiropractic Clinic.

Where is Beavercreek Chiropractic Clinic Inc located?

Beavercreek Chiropractic Clinic Inc is located at 1654 Mardon Dr, Beavercreek, OH 45432. The listed phone number is (937) 426-9265.

What is Beavercreek Chiropractic Clinic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Beavercreek Chiropractic Clinic Inc enrolled in Medicare?

Yes. Beavercreek Chiropractic Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beavercreek Chiropractic Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Beavercreek Chiropractic Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beavercreek Chiropractic Clinic Inc was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.