NPIMap

Organization Active NPI

Dwyer Chiropractic LLC

  • Chiropractor
  • London, OH
National Provider Identifier
1013164789
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3801 Issued in OH
Legal business name
DWYER CHIROPRACTIC LLC
Practice address
139 S Main St
London, OH 43140-1440
Phone
(740) 852-1965
Fax
(740) 852-1966
NPI assigned
Aug 25, 2008
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather M. Dwyer, DCNPI 1063541944
Title
President
Phone
(740) 852-1965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3801 OH Primary

Addresses

Primary practice location

139 S Main St
London, OH 43140-1440

Mailing address

139 S Main St
London, OH 43140-1440
Phone (740) 852-1965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000018 OH Part B Supplier - Clinic/Group Practice 3476621780 Receives reassigned benefits from 3 practitioners
Practice locations: London, OH

National Provider Directory

National Provider Directory

Locations

139 S Main St
London, OH 43140
Phone (740) 852-1965

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1013164789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401440",
            "telephone_number": "740-852-1965",
            "fax_number": "740-852-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401440",
            "telephone_number": "740-852-1965",
            "fax_number": "740-852-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWYER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-852-1965",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.