Individual provider Active NPI

Charles Borg Hafele, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1568507341
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OHIO1564 Issued in OH
Practice address
6527 Hamilton Ave
Cincinnati, OH 75224
Phone
(513) 931-7325
Fax
(513) 931-7324
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OHIO1564 OH Primary
Chiropractor 111N00000X 0006186 FL

Addresses

Primary practice location

6527 Hamilton Ave
Cincinnati, OH 75224

Mailing address

6527 Hamilton Ave
Cincinnati, OH 45224-1029
Phone (513) 931-7325

Other identifiers 4

IdentifierTypeStateIssuer
0135053MedicaidOH
31131546700OtherOHWORK & DUP
15597OtherANTHEM
398360001OtherOHCARE SOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006186FLMDChiropractor
OHIO1564OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Borg Hafele Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1568507341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241029",
            "telephone_number": "513-931-7325",
            "fax_number": "513-672-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6527 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "75224",
            "telephone_number": "513-931-7325",
            "fax_number": "513-931-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFELE",
        "first_name": "CHARLES",
        "middle_name": "BORG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OHIO1564",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "0006186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135053",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK & DUP",
            "identifier": "31131546700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "15597",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "398360001",
            "state": "OH"
        }
    ],
    "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 Apr 24, 2015; 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.