Charles Huddleston, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3467 Issued in OH

Practice address

27 N Main St
Fort Loramie, OH 45845

Phone

(937) 295-2212

Fax

(937) 295-2214

NPI assigned

Oct 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fort Loramie Chiropractic

  • Chiropractor
  • Fort Loramie, OH
  • NPI 1326253576
  Medicare reassignment NPD Authorized official
• Arrowhead Clinic, Inc.

  • Chiropractor
  • Jonesboro, GA
  • NPI 1003835224
  NPD (past)
• Athens Chiropractic & Therapy

  • Exclusive Provider Organization
  • Athens, GA
  • NPI 1851575500

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144319336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458450185",
            "telephone_number": "937-295-2212",
            "fax_number": "937-295-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N MAIN ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "45845",
            "telephone_number": "937-295-2212",
            "fax_number": "937-295-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "9344141",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS ID",
            "identifier": "000000331713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Loramie Rescue Squad, Inc
• Ashley Goshorn
• Ryan Louis Grieshop
• Stacy Holland, PT, DPT
• Janelle Holthaus, MOT, OTR/L
• Andrea Christine Meyer
• Sandra Cathryn Pitts, LPN
• Primary Eyecare Associates Inc
• Yes Nutrition, LLC

• Chiropractor in Fort Loramie, OH
• Providers in Fort Loramie, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.