Organization Active NPI

David a. Bodi

  • Chiropractor
  • Sandusky, OH
National Provider Identifier
1053596254
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2622 Issued in OH
Legal business name
DAVID A. BODI
Practice address
1501 Milan Rd Ste 4
Sandusky, OH 44870-4143
Phone
(419) 625-4990
Fax
(419) 625-4950
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. David A. Bodi, DCNPI 1396714028
Title
Owner
Phone
(419) 625-4990

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2622 OH Primary

Addresses

Primary practice location

1501 Milan Rd Ste 4
Sandusky, OH 44870-4143

Mailing address

1501 Milan Rd Ste 4
Sandusky, OH 44870-4143
Phone (419) 625-4990

Other identifiers 2

IdentifierTypeStateIssuer
2074679MedicaidOH
DC4229OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1501 Milan Rd
Ste 4
Sandusky, OH 44870
Phone (419) 625-4990

1052 Cleveland Rd
Sandusky, OH 44870
Phone (419) 625-4990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1053596254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MILAN RD STE 4",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704143",
            "telephone_number": "419-625-4990",
            "fax_number": "419-625-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILAN RD STE 4",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704143",
            "telephone_number": "419-625-4990",
            "fax_number": "419-625-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. BODI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "BODI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-625-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074679",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.