Organization Active NPI

Robert Nathan Fedore

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1518901883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3704 Issued in OH
Legal business name
ROBERT NATHAN FEDORE
Practice address
9128 Union Cemetery Rd
Cincinnati, OH 45249-2006
Phone
(513) 774-9800
Fax
(513) 774-9825
NPI assigned
Jun 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Nathan Fedore, D.C.
Title
Chiropractor
Phone
(513) 774-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3704 OH Primary

Addresses

Primary practice location

9128 Union Cemetery Rd
Cincinnati, OH 45249-2006

Mailing address

9128 Union Cemetery Rd
Cincinnati, OH 45249-2006
Phone (513) 774-9800

National Provider Directory

National Provider Directory

Locations

9128 Union Cemetery Rd
Cincinnati, OH 45249
Phone (513) 774-9800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518901883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 UNION CEMETERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492006",
            "telephone_number": "513-774-9800",
            "fax_number": "513-774-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 UNION CEMETERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492006",
            "telephone_number": "513-774-9800",
            "fax_number": "513-774-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT NATHAN FEDORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "513-774-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3704",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.