Individual provider Active NPI

Eric Robert Dieffenbaugher, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1467492272
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2843 Issued in OH
Practice address
6400 E Galbraith Rd
Cincinnati, OH 45236-2268
Phone
(513) 791-5521
Fax
(513) 791-5526
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2843 OH Primary

Addresses

Primary practice location

6400 E Galbraith Rd
Cincinnati, OH 45236-2268

Mailing address

6400 E Galbraith Rd
Cincinnati, OH 45236-2268
Phone (513) 791-5521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000022 OH Practitioner - Chiropractic 6406889088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Institute for Integrative Medicine, LLCGroup PAC ID 1759485212, 2 clinicians

Practice addresses (Care Compare)

6400 E Galbraith Rd
Cincinnati, OH 45236-2268
Phone (513) 791-5521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2843OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R. Dieffenbaugher DC Chiropractor Past Accepting new patients
University of Cincinnati Physicians Company, LLC PastSince Mar 14, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1467492272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362268",
            "telephone_number": "513-791-5521",
            "fax_number": "513-791-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362268",
            "telephone_number": "513-791-5521",
            "fax_number": "513-791-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFFENBAUGHER",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2011; 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.