Tad M. Roediger, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1811 Issued in OH

Practice address

401 South St
Building 2a
Chardon, OH 44024-2805

Phone

(440) 285-0756

Fax

(440) 285-8625

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roediger Chiropractic Inc.

  • Chiropractor
  • Chardon, OH
  • NPI 1154507010
  Medicare reassignment NPD Authorized official
• Health Plus Medical Management, Inc

  • General Practice Physician
  • Cincinnati, OH
  • NPI 1306970413

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1497715320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST",
            "address_2": "BUILDING 2A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242805",
            "telephone_number": "440-285-0756",
            "fax_number": "440-285-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST",
            "address_2": "BUILDING 2A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242805",
            "telephone_number": "440-285-0756",
            "fax_number": "440-285-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDIGER",
        "first_name": "TAD",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ausia Robinson
• Allison Rodgers, LSW
• James Robert Rodio, M.D.
• Selena Marie Rodriguez
• Roediger Chiropractic Inc.
• Skylar Rogenski
• Allison Marie Rohaley, SRNA
• Justin Romeo, PT, DPT
• Camryn Rondo
• Mark B Rorick, M.D.

• Chiropractor in Chardon, OH
• Providers in Chardon, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.