Individual provider Active NPI

Darren L Snodgrass, DC

  • Chiropractor
  • Fremont, OH
National Provider Identifier
1427040484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2985 Issued in OH
Practice address
1320 E State St
Ste B
Fremont, OH 43420-4365
Phone
(419) 332-6840
Fax
(419) 332-6929
NPI assigned
Aug 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2985 OH Primary

Addresses

Primary practice location

1320 E State St
Ste B
Fremont, OH 43420-4365

Mailing address

1320 E State St
Ste B
Fremont, OH 43420-4365
Phone (419) 332-6840

Other identifiers 1

IdentifierTypeStateIssuer
2207632MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000011 OH Practitioner - Chiropractic 8123081635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 E State St
Suite B
Fremont, OH 43420-4366
Phone (419) 332-6840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2985OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Chiropractic LLC Chiropractor CurrentSince Oct 1, 2004 Accepting new patients
F O R M E Medical & Rehab Center of Fremont, Inc Chiropractor Past Accepting new patients

Locations

1320 E State St
Ste B
Fremont, OH 43420
Phone (419) 332-6840

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, 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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427040484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E STATE ST",
            "address_2": "STE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204365",
            "telephone_number": "419-332-6840",
            "fax_number": "419-332-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E STATE ST",
            "address_2": "STE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204365",
            "telephone_number": "419-332-6840",
            "fax_number": "419-332-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "DARREN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.