Eric R. Dieffenbaugher DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2843 Issued in OH

Legal business name

ERIC R. DIEFFENBAUGHER DC

Practice address

5957 Boymel Dr Ste 4
Fairfield, OH 45014-5633

Phone

(513) 874-2849

Fax

(513) 874-4235

NPI assigned

Nov 30, 2007

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric R Dieffenbaugher, DCNPI 1467492272

Title

Owner/Chiropractor

Phone

(513) 874-2849

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Eric Robert Dieffenbaugher, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1467492272
  NPD (past) Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1063694065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 BOYMEL DR STE 4",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145633",
            "telephone_number": "513-874-2849",
            "fax_number": "513-874-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 BOYMEL DR STE 4",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145633",
            "telephone_number": "513-874-2849",
            "fax_number": "513-874-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. DIEFFENBAUGHER DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "DIEFFENBAUGHER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "513-874-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467492272",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER ID",
            "identifier": "4084441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Edward B Erndt, DDS MS
• Heidi Escobar, PH.D.
• Angelena Espitia, DPT
• Ethos Holding Corp. (ethos laboratories)

• Chiropractor in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.