Individual provider Active NPI

Jennifer Marie Hedden, DC

  • Chiropractor
  • Cuyahoga Falls, OH
National Provider Identifier
1053585521
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3855 Issued in OH
Practice address
911 Graham Rd
Suite 66
Cuyahoga Falls, OH 44221-1169
Phone
(330) 945-4700
Fax
(330) 945-5876
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3855 OH Primary

Addresses

Primary practice location

911 Graham Rd
Suite 66
Cuyahoga Falls, OH 44221-1169

Mailing address

911 Graham Rd
Suite 66
Cuyahoga Falls, OH 44221-1169
Phone (330) 945-4700

Other names 1

  • Dr. Jennifer Marie Hedden Professional name

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

LicenseStateTypeSpecialty
3855OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan G Tubbs Chiropractor PastSince Jul 11, 2015 Accepting new patients
Tubbs Chiropractic LLC Chiropractor PastSince Sep 3, 2012 Accepting new patients
Thomlynn Chiropractic Inc. Chiropractor PastSince Sep 1, 2000 Accepting new patients

Organizations & group practices 3

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1053585521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GRAHAM RD",
            "address_2": "SUITE 66",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211169",
            "telephone_number": "330-945-4700",
            "fax_number": "330-945-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GRAHAM RD",
            "address_2": "SUITE 66",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211169",
            "telephone_number": "330-945-4700",
            "fax_number": "330-945-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDEN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HEDDEN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.