Melody D Heydinger, DC, Prof Corp
Organization Active NPI Chiropractor · New Washington, OH
NPI 1205035375 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1205035375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3126 (OH)
- Legal business name
- MELODY D HEYDINGER, DC, PROF CORP
- Practice address
- 201 S Kibler St
New Washington, OH 44854-9771 - Phone
- (419) 492-2129
- Fax
- (419) 492-3344
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Melody D. Heydingerdc, DC
- Title
- Owner/Chiropractor
- Phone
- (702) 932-6100
Practitioners 2
-
Melody D Mergenthaler, D.C.
-
Thresa M Young, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140211000847 | OH | Part B Supplier - Clinic/Group Practice | 0840278172 |
Receives reassigned benefits from 1 practitioner Practice locations: New Washington, OH |
National Provider Directory
Locations
201 S Kibler St
New Washington, OH 44854
Phone (419) 492-2129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3126 | OH | Yes |
Addresses
Primary practice location
201 S Kibler St
New Washington, OH 44854-9771
Mailing address
201 S Kibler St
PO Box 325
New Washington, OH 44854-9771
Phone (419) 492-2129
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V37589 | Other | NV | MEDICARE GROUP |
Other names
- Serenity Spinal Care
Other providers in New Washington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.