Fort Loramie Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORT LORAMIE CHIROPRACTIC

Practice address

27 N Main St
Fort Loramie, OH 45845

Phone

(937) 295-2212

Fax

(937) 295-2214

NPI assigned

May 11, 2007

Last updated

Jan 23, 2013By 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

Charles Huddleston, DCNPI 1144319336

Title

Owner

Phone

(937) 295-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer M Huddleston Other name

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, and the practitioner matching its NPPES authorized official.

• Charles Huddleston, D.C.

  • Chiropractor
  • Fort Loramie, OH
  • NPI 1144319336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1326253576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458450185",
            "telephone_number": "937-295-2212",
            "fax_number": "937-295-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N MAIN ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "45845",
            "telephone_number": "937-295-2212",
            "fax_number": "937-295-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LORAMIE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-295-2212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP ID",
            "identifier": "000000331712",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer M Huddleston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hilary Suzanne Davis
• Detrick Chiropractic LLC
• Dustin J. Detrick, D.C., L.C.P.
• Sheri L Elliott
• Empauer Rehab, LTD.
• Fort Loramie Local Schools
• Fort Loramie Rescue Squad, Inc
• Ashley Goshorn
• Ryan Louis Grieshop
• Stacy Holland, PT, DPT

• Chiropractor in Fort Loramie, OH
• Providers in Fort Loramie, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.