Roediger Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1811 Issued in OH

Legal business name

ROEDIGER CHIROPRACTIC INC.

Practice address

401 South St BLDG 2a
Village Station
Chardon, OH 44024-2805

Phone

(440) 285-0756

Fax

(440) 285-8625

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Tad M. Roediger, D.C.NPI 1497715320

Title

President

Phone

(440) 285-0756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tad M. Roediger, D.C.

  • Chiropractor
  • Chardon, OH
  • NPI 1497715320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1154507010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST BLDG 2A",
            "address_2": "VILLAGE STATION",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242805",
            "telephone_number": "440-285-0756",
            "fax_number": "440-285-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST BLDG 2A",
            "address_2": "VILLAGE STATION",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242805",
            "telephone_number": "440-285-0756",
            "fax_number": "440-285-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEDIGER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "ROEDIGER",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-285-0756",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Robie, MA CCC/SLP
• Ausia Robinson
• Allison Rodgers, LSW
• James Robert Rodio, M.D.
• Selena Marie Rodriguez
• Tad M. Roediger, D.C.
• Skylar Rogenski
• Allison Marie Rohaley, SRNA
• Justin Romeo, PT, DPT
• Camryn Rondo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.