Active NPI
Clinton J Garda, DC
- Chiropractor
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4284
- Practice address
- 9879 Montgomery Road
Cincinnati, OH 45242 - Phone
- (513) 891-2111
- Fax
- (513) 891-2113
- NPI assigned
- Feb 27, 2007
- Last updated
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008673 | IL | |
| Chiropractor | 111N00000X | 4284 | OH | Primary |
Addresses
Primary practice location
9879 Montgomery Road
Cincinnati, OH 45242
Mailing address
9879 Montgomery Road
Cincinnati, OH 45242
Phone (513) 891-2111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K39401 | Other | IL | MEDICARE ID # |
| 5632232 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11123 Montgomery Rd
Suite 105
Cincinnati, OH 45249-2390
Phone (513) 342-1700
9879 Montgomery Rd
Montgomery, OH 45242-6424
Phone (513) 891-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008673 | IL | MD | Chiropractor |
| 4284 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Docs | Current | Accepting new patients | |
| Backbone Wellness Institute LLC | Current | Accepting new patients | |
| Chiro One Wellness Center of Crystal Lake SC | Chiropractor | Past | Accepting new patients |
Locations
11123 Montgomery Rd
Ste 105
Cincinnati, OH 45249
Phone (513) 342-1700
3328 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 342-1700
9879 Montgomery Rd
Montgomery, OH 45242
Phone (513) 891-2111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Cincinnati, OH
- NPI 1104176635
-
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
- NPI 1033729496
-
- Chiropractor
- Crystal Lake, IL
- NPI 1124155098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1417084286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9879 MONTGOMERY ROAD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-891-2111",
"fax_number": "513-891-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9879 MONTGOMERY ROAD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-891-2111",
"fax_number": "513-891-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDA",
"first_name": "CLINTON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008673",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID #",
"identifier": "K39401",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5632232",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.