Organization Active NPI

Bardall Chiropractic Inc.

  • Chiropractor
  • Orrville, OH
National Provider Identifier
1255301255
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024 Issued in OH
Legal business name
BARDALL CHIROPRACTIC INC.
Practice address
531 S Main St
Orrville, OH 44667-2201
Phone
(330) 682-9444
Fax
(330) 683-7306
NPI assigned
Jan 24, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mr. Kelly K Snyder
Title
Business Manager
Phone
(330) 682-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024 OH Primary

Addresses

Primary practice location

531 S Main St
Orrville, OH 44667-2201

Mailing address

531 S Main St
Orrville, OH 44667-2201
Phone (330) 682-9444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110912000464 OH Part B Supplier - Clinic/Group Practice 2365613999 Receives reassigned benefits from 1 practitioner
Practice locations: Orrville, OH

National Provider Directory

National Provider Directory

Locations

531 S Main St
Orrville, OH 44667
Phone (330) 682-9444

Practitioners & affiliated clinicians

Practitioners 1

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1255301255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S MAIN ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672201",
            "telephone_number": "330-682-9444",
            "fax_number": "330-683-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S MAIN ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672201",
            "telephone_number": "330-682-9444",
            "fax_number": "330-683-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDALL CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-682-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.