Diffenderfer Enterprises Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC1077 Issued in OH

Legal business name

DIFFENDERFER ENTERPRISES INC

Practice address

1430 N Court St
Circleville, OH 43113-1005

Phone

(740) 474-9777

Fax

(740) 474-6225

NPI assigned

May 22, 2007

Last updated

Aug 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred E Diffenderfer, D.C.

Title

President

Phone

(740) 474-9777

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1205045606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131005",
            "telephone_number": "740-474-9777",
            "fax_number": "740-474-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131005",
            "telephone_number": "740-474-9777",
            "fax_number": "740-474-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFENDERFER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "DIFFENDERFER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-474-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM",
            "identifier": "000000120712",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "168369204002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Anne Dick, D.C.
• Joshua Thomas Dick, D.C.
• Fred E Diffenderfer, D.C.
• Randall Dockery, LPCC
• Jordan Richard Dodge, CNP
• Robert Dolby
• Lisette Dominguez, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.