Individual provider Active NPI

Deddeh A. Korvah-Reed, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1376692343
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3769 Issued in OH
Practice address
67 Parsons Ave
Columbus, OH 43215-3978
Phone
(614) 222-0019
Fax
(614) 222-0021
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3769 OH Primary

Addresses

Primary practice location

67 Parsons Ave
Columbus, OH 43215-3978

Mailing address

67 Parsons Ave
Columbus, OH 43215-3978
Phone (614) 222-0019

Other identifiers 1

IdentifierTypeStateIssuer
2805503MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000588 OH Practitioner - Chiropractic 8729177837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Parsons Ave
Columbus, OH 43215-3978
Phone (614) 222-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3769OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Chiropractic and Wellness Center Chiropractor CurrentSince Apr 14, 2009 Accepting new patients
Opulent Home Health Care LLC. PastSince Apr 14, 2009 Accepting new patients
First Choice Chiropractic, LLC Chiropractor PastSince Nov 14, 2007 Accepting new patients

Locations

67 Parsons Ave
Columbus, OH 43215
Phone (614) 222-0019

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1376692343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153978",
            "telephone_number": "614-222-0019",
            "fax_number": "614-222-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153978",
            "telephone_number": "614-222-0019",
            "fax_number": "614-222-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORVAH-REED",
        "first_name": "DEDDEH",
        "middle_name": "A.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.