Organization Active NPI

Stephen F Geders, DC, PC

Doing business as Huntington Chiropractic Center

  • Chiropractor
  • Huntington, IN
National Provider Identifier
1366764219
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001152 Issued in IN
Legal business name
STEPHEN F GEDERS, DC, PC
Doing business as
Huntington Chiropractic Center
Practice address
1504 N Jefferson St
Huntington, IN 46750-1401
Phone
(260) 356-1212
Fax
(260) 358-4603
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Stephen Frederick Geders, D.C.
Title
President
Phone
(260) 356-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001152 IN Primary

Addresses

Primary practice location

1504 N Jefferson St
Huntington, IN 46750-1401

Mailing address

1504 N Jefferson St
Huntington, IN 46750-1401
Phone (260) 356-1212

Other identifiers 2

IdentifierTypeStateIssuer
265450OtherINMEDICARE PTAN
100138330MedicaidIN

Other names 1

  • Huntington Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1366764219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501401",
            "telephone_number": "260-356-1212",
            "fax_number": "260-358-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501401",
            "telephone_number": "260-356-1212",
            "fax_number": "260-358-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F GEDERS, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "GEDERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-356-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "265450",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.