Neidert Chiropractic, Inc.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

1033 Issued in OH

Legal business name

NEIDERT CHIROPRACTIC, INC.

Practice address

1515 Portage St NW
Suite C
North Canton, OH 44720-2290

Phone

(330) 499-1518

Fax

(330) 499-7385

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Konrad Neidert Jr., D.C.

Title

President

Phone

(330) 499-1518

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043307267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11568 HOOVER AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857385",
            "telephone_number": "330-877-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW",
            "address_2": "SUITE C",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-499-1518",
            "fax_number": "330-499-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDERT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIDERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-499-1518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0549366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Navis
• Mansi Nawani, OTR/L
• Elena Naydinskaya, COTA/L
• Kimberly A Neff, L/PT
• Patricia A Negro, COTA
• William Konrad Neidert Jr., D.C.
• Carrie Ann Neil, OTR/L
• David W Nelson, MD
• Adriel Nemec, PT
• Maria B Nemec, PT

• Nutrition Chiropractor in North Canton, OH
• Providers in North Canton, OH by specialty
• Nutrition Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.