Organization Active NPI

Melody D Heydinger, DC, Prof Corp

Doing business as Serenity Spinal Care

  • Chiropractor
  • New Washington, OH
National Provider Identifier
1205035375
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3126 Issued in OH
Legal business name
MELODY D HEYDINGER, DC, PROF CORP
Doing business as
Serenity Spinal Care
Practice address
201 S Kibler St
New Washington, OH 44854-9771
Phone
(419) 492-2129
Fax
(419) 492-3344
NPI assigned
Jul 17, 2007
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Melody D. Heydingerdc, DC
Title
Owner/Chiropractor
Phone
(702) 932-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3126 OH Primary

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 names 1

  • Serenity Spinal Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211000847 OH Part B Supplier - Clinic/Group Practice 0840278172 Receives reassigned benefits from 1 practitioner
Practice locations: New Washington, OH

National Provider Directory

National Provider Directory

Locations

201 S Kibler St
New Washington, OH 44854
Phone (419) 492-2129

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1205035375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S KIBLER ST",
            "address_2": "PO BOX 325",
            "city": "NEW WASHINGTON",
            "state": "OH",
            "postal_code": "448549771",
            "telephone_number": "419-492-2129",
            "fax_number": "419-492-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S KIBLER ST",
            "city": "NEW WASHINGTON",
            "state": "OH",
            "postal_code": "448549771",
            "telephone_number": "419-492-2129",
            "fax_number": "419-492-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY D HEYDINGER, DC, PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "HEYDINGERDC",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "702-932-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Washington, OH

Sources for this page

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