Organization Active NPI

Buckeye Chiropractic and Sports Injury LLC

  • Chiropractor
  • Maineville, OH
National Provider Identifier
1346725926
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCKEYE CHIROPRACTIC AND SPORTS INJURY LLC
Practice address
3116 W US Highway 22 and 3 Ste O
Maineville, OH 45039-8104
Phone
(513) 791-1888
Fax
(513) 984-4521
NPI assigned
Sep 28, 2018
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Gary L Duermit, D.C.NPI 1558462804
Title
Owner
Phone
(513) 791-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3116 W US Highway 22 and 3 Ste O
Maineville, OH 45039-8104

Mailing address

3116 W US Highway 22 and 3 Ste O
Maineville, OH 45039-8104
Phone (513) 791-1888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181128001310 OH Part B Supplier - Clinic/Group Practice 0547504813 Receives reassigned benefits from 1 practitioner
Practice locations: Maineville, OH

National Provider Directory

National Provider Directory

Locations

3116 W US Highway 22 and 3
Ste O
Maineville, OH 45039
Phone (513) 683-4387

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": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1346725926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W US HIGHWAY 22 AND 3 STE O",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398104",
            "telephone_number": "513-791-1888",
            "fax_number": "513-984-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 W US HIGHWAY 22 AND 3 STE O",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398104",
            "telephone_number": "513-791-1888",
            "fax_number": "513-984-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE CHIROPRACTIC AND SPORTS INJURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "DUERMIT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-791-1888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.