Individual provider Active NPI

Chad D. Hedges, DC, MS, CCSP

  • Sports Physician Chiropractor
  • Lancaster, OH
National Provider Identifier
1407223852
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC-04666 Issued in OH
Practice address
2265 W Fair Ave
Lancaster, OH 43130-8821
Phone
(740) 494-1470
Fax
(740) 494-1471
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC-04666 OH Primary

Addresses

Primary practice location

2265 W Fair Ave
Lancaster, OH 43130-8821

Mailing address

2265 W Fair Ave
Lancaster, OH 43130-8821
Phone (740) 494-1470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703001938 OH Practitioner - Chiropractic 6608183199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2265 W Fair Ave
Lancaster, OH 43130-8821
Phone (740) 494-1470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Sport & Spine LLC Chiropractor CurrentSince May 3, 2025 Accepting new patients
Illinois Back and Joint PLLC Chiropractor CurrentSince Jan 19, 2023 Accepting new patients

Locations

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

2265 W Fair Ave
Lancaster, OH 43130
Phone (740) 494-1470

Organizations & group practices 2

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1407223852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 W FAIR AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308821",
            "telephone_number": "740-494-1470",
            "fax_number": "740-494-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 W FAIR AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308821",
            "telephone_number": "740-494-1470",
            "fax_number": "740-494-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "CHAD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC, MS, CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "DC-04666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.