Individual provider Active NPI

Dean Ashley Haldeman, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1386662310
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3401 Issued in OH
Practice address
200 Graceland Blvd
Columbus, OH 43214-1532
Phone
(614) 436-2225
Fax
(614) 436-2220
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3401 OH Primary

Addresses

Primary practice location

200 Graceland Blvd
Columbus, OH 43214-1532

Mailing address

7955 N High St
Columbus, OH 43235-1423
Phone (614) 436-2225

Other identifiers 3

IdentifierTypeStateIssuer
2550529MedicaidOH
7160740OtherOHAETNA PIN
000000355653OtherOHANTHEM PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000012 OH Practitioner - Chiropractic 2961430277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceland Chiropractic, LLCGroup PAC ID 7214007624, 3 clinicians

Practice addresses (Care Compare)

7955 N High St
Columbus, OH 43235-1423
Phone (614) 436-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3401OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Chiropractic Chiropractor CurrentSince Jul 18, 2005 Accepting new patients
Graceland Chiropractic, LLC Chiropractor CurrentSince Jul 18, 2005 Accepting new patients
Gahanna Family Chiropractic, LLC Chiropractor Past Accepting new patients
Lewis Center Chiropractic Inc Chiropractor PastSince Aug 1, 2013 Accepting new patients
Buckeye Physical Medicine and Rehab - Gahanna PastSince Nov 1, 2014 Accepting new patients

Locations

7955 N High St
Columbus, OH 43235
Phone (614) 436-2225

200 Graceland Blvd
Columbus, OH 43214
Phone (614) 436-2225

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1386662310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351423",
            "telephone_number": "614-436-2225",
            "fax_number": "614-436-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRACELAND BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141532",
            "telephone_number": "614-436-2225",
            "fax_number": "614-436-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "DEAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550529",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7160740",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000355653",
            "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 26, 2018; 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.