Individual provider Active NPI

Andrew Nicholas Damron, D.C.

  • Chiropractor
  • Maineville, OH
National Provider Identifier
1497905343
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3993 Issued in OH
Practice address
3187 Western Row Rd
Suite 114
Maineville, OH 45039-8045
Phone
(513) 770-3434
Fax
(513) 229-5432
NPI assigned
Sep 29, 2008
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5149 KY
Chiropractor 111N00000X 3993 OH Primary

Addresses

Primary practice location

3187 Western Row Rd
Suite 114
Maineville, OH 45039-8045

Mailing address

3187 Western Row Rd
Suite 114
Maineville, OH 45039-8045
Phone (513) 770-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000384 OH Practitioner - Chiropractic 2567522170 Reassigns benefits to 1 organization
Practice locations: Maineville, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3187 Western Row Rd
Suite 114
Maineville, OH 45039-8014
Phone (513) 770-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Damron Chiropractic & Wellness Chiropractor CurrentSince Sep 26, 2012 Accepting new patients
Roth Chiropractic, LLC Chiropractor PastSince Jan 5, 2024 Accepting new patients

Locations

3187 Western Row Rd
Ste 114
Maineville, OH 45039
Phone (513) 770-3434

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1497905343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 WESTERN ROW RD",
            "address_2": "SUITE 114",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398045",
            "telephone_number": "513-770-3434",
            "fax_number": "513-229-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 WESTERN ROW RD",
            "address_2": "SUITE 114",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398045",
            "telephone_number": "513-770-3434",
            "fax_number": "513-229-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRON",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5149",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.