Fred E Diffenderfer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1077 Issued in OH

Practice address

420 Lancaster Pike
Circleville, OH 43113-9272

Phone

(740) 477-3333

Fax

(740) 477-1100

NPI assigned

Oct 20, 2006

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth J Laux, Jr, Circleville Chiropractic Center

  • Chiropractor
  • Circleville, OH
  • NPI 1083808729
  NPD (past)
• Pickaway Plains Ambulance Service, Inc.

  dba Pro Care Medical Transportation Service, Inc.

  • Ambulance
  • Circleville, OH
  • NPI 1710965579
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1093897779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139272",
            "telephone_number": "740-477-3333",
            "fax_number": "740-477-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139272",
            "telephone_number": "740-477-3333",
            "fax_number": "740-477-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENDERFER",
        "first_name": "FRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656875",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Dibenedetto, RN
• Dick Family Chiropractic LLC (Pickaway Chiropractic Center)
• Christina Anne Dick, D.C.
• Joshua Thomas Dick, D.C.
• Diffenderfer Enterprises Inc
• Randall Dockery, LPCC
• Jordan Richard Dodge, CNP
• Robert Dolby
• Lisette Dominguez, DO
• Donald H. Webster D.B.a. Easy Access Mobility

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.