William Konrad Neidert Jr., D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

1033 Issued in OH

Practice address

1515 Portage St NW
Suite C
North Canton, OH 44720-2290

Phone

(330) 499-1518

Fax

(330) 499-7385

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Novelli Chiropractic Clinic, Inc.

  • Chiropractor
  • North Canton, OH
  • NPI 1164699831
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134215767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11568 HOOVER AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857385",
            "telephone_number": "330-877-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW",
            "address_2": "SUITE C",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-499-1518",
            "fax_number": "330-499-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERT",
        "first_name": "WILLIAM",
        "middle_name": "KONRAD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0549366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansi Nawani, OTR/L
• Elena Naydinskaya, COTA/L
• Kimberly A Neff, L/PT
• Patricia A Negro, COTA
• Neidert Chiropractic, Inc.
• Carrie Ann Neil, OTR/L
• David W Nelson, MD
• Adriel Nemec, PT
• Maria B Nemec, PT
• Cathyann Newell, LPTA

• Nutrition Chiropractor in North Canton, OH
• Providers in North Canton, OH by specialty
• Nutrition Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.