Individual provider Active NPI

Neil R Dufore, D.C.

  • Nutrition Chiropractor
  • Ironton, OH
National Provider Identifier
1407903628
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
OH 595 Issued in OH
Practice address
1726 S 3Rd St
Ironton, OH 45638-2284
Phone
(740) 532-1016
Fax
(740) 532-4651
NPI assigned
Jan 3, 2007
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X OH 595 OH Primary

Addresses

Primary practice location

1726 S 3Rd St
Ironton, OH 45638-2284

Mailing address

1726 S 3Rd St
Ironton, OH 45638-2284
Phone (740) 532-1016

Other identifiers 3

IdentifierTypeStateIssuer
31-11832834001OtherOHBLUE CROSS OF OHIO
311183283-00OtherOHOHIO WORKERS COMPENSATION
792350184OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 595OHMDNutrition Chiropractor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1407903628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382284",
            "telephone_number": "740-532-1016",
            "fax_number": "740-532-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382284",
            "telephone_number": "740-532-1016",
            "fax_number": "740-532-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFORE",
        "first_name": "NEIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "OH 595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF OHIO",
            "identifier": "31-11832834001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO WORKERS COMPENSATION",
            "identifier": "311183283-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "792350184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.