Individual provider Active NPI

Kristen Diane Eash, DC

  • Chiropractor
  • Rittman, OH
National Provider Identifier
1053484543
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3005 Issued in OH
Practice address
14 S Main St Ste 101
Rittman, OH 44270-1438
Phone
(330) 939-3191
Fax
(330) 485-4530
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3005 OH Primary

Addresses

Primary practice location

14 S Main St Ste 101
Rittman, OH 44270-1438

Mailing address

14 S Main St Ste 101
Rittman, OH 44270-1438
Phone (330) 939-3191

Other identifiers 1

IdentifierTypeStateIssuer
2596089MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907001113 OH Practitioner - Chiropractic 9133151640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 S Main St
Suite 101
Rittman, OH 44270-1438
Phone (330) 939-3191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3005OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Chiropractic Center, Inc. Chiropractor CurrentSince Apr 15, 2004 Accepting new patients

Locations

14 S Main St
Ste 101
Rittman, OH 44270
Phone (330) 939-3191

13078 Seville Rd
Sterling, OH 44276
Phone (216) 939-3191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1053484543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST STE 101",
            "city": "RITTMAN",
            "state": "OH",
            "postal_code": "442701438",
            "telephone_number": "330-939-3191",
            "fax_number": "330-939-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S MAIN ST STE 101",
            "city": "RITTMAN",
            "state": "OH",
            "postal_code": "442701438",
            "telephone_number": "330-939-3191",
            "fax_number": "330-485-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASH",
        "first_name": "KRISTEN",
        "middle_name": "DIANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2596089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rittman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.