Individual provider Active NPI

Joseph John Herbert, D.C.

  • Chiropractor
  • Medina, OH
National Provider Identifier
1154390987
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2403 Issued in OH
Practice address
5019 Victor Dr
Medina, OH 44256-9624
Phone
(330) 722-7709
Fax
(330) 723-0850
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2403 OH Primary

Addresses

Primary practice location

5019 Victor Dr
Medina, OH 44256-9624

Mailing address

5019 Victor Dr
Medina, OH 44256-9624
Phone (330) 722-7709

Other identifiers 1

IdentifierTypeStateIssuer
2046146MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000145 OH Practitioner - Chiropractic 0143377077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wadsworth Chiropractic LTDGroup PAC ID 4587711411, 2 clinicians

Practice addresses (Care Compare)

200 Smokerise Dr
Suite 200
Wadsworth, OH 44281-9499
Phone (330) 331-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2403OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wadsworth Chiropractic LTD Chiropractor CurrentSince Jan 26, 2009 Accepting new patients
Medina Family Chiropractic Center Inc. Chiropractor PastSince Jan 1, 2000 Accepting new patients

Locations

200 Smokerise Dr
Ste 200
Wadsworth, OH 44281
Phone (330) 331-5320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1154390987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569624",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569624",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.