Andrew Nicholas Damron, D.C.
Individual provider Active NPI Chiropractor · Maineville, OH
NPI 1497905343 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1497905343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3993 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000384 | OH | Practitioner - Chiropractic | 2567522170 |
Reassigns benefits to 1 organization Practice locations: Maineville, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damron Chiropractic & Wellness | Chiropractor | Current |
Accepting new patients |
| Roth Chiropractic, LLC | Chiropractor | Past |
Accepting new patients |
Locations
3187 Western Row Rd
Ste 114
Maineville, OH 45039
Phone (513) 770-3434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5149 | KY | |
| Chiropractor | 111N00000X | 3993 | OH | Yes |
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
Other providers in Maineville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.