Individual provider Active NPI

Edward R Chevalier Jr., D.C.

  • Chiropractor
  • Canton, OH
National Provider Identifier
1467547455
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2232 Issued in OH
Practice address
7257 Fulton Dr NW
Suite 73
Canton, OH 44718-3816
Phone
(330) 834-1444
Fax
(330) 834-0444
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2232 OH Primary

Addresses

Primary practice location

7257 Fulton Dr NW
Suite 73
Canton, OH 44718-3816

Mailing address

7257 Fulton Dr NW
Ste 73
Canton, OH 44718-3817
Phone (330) 834-1444

Other identifiers 1

IdentifierTypeStateIssuer
2091187MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000178 OH Practitioner - Chiropractic 6608952114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7257 Fulton Dr NW
Suite 73
Canton, OH 44718-3817
Phone (330) 834-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2232OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chevalier Chiropractic Inc. Chiropractor CurrentSince Jul 15, 1998 Accepting new patients

Locations

7257 Fulton Dr NW
Ste 73
Canton, OH 44718
Phone (330) 834-1444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1467547455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 FULTON DR NW",
            "address_2": "STE 73",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183817",
            "telephone_number": "330-834-1444",
            "fax_number": "330-834-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 FULTON DR NW",
            "address_2": "SUITE 73",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183816",
            "telephone_number": "330-834-1444",
            "fax_number": "330-834-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "EDWARD",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.