Organization Active NPI

Walther Chiropractic, LLC

  • Chiropractor
  • Milford, OH
National Provider Identifier
1609058676
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2837 Issued in OH
Legal business name
WALTHER CHIROPRACTIC, LLC
Practice address
1240 State Route 28
Suite B
Milford, OH 45150-4928
Phone
(513) 575-5444
Fax
(513) 575-1819
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Bryan Walther, D.C.NPI 1669518031
Title
Member
Phone
(513) 575-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2837 OH Primary

Addresses

Primary practice location

1240 State Route 28
Suite B
Milford, OH 45150-4928

Mailing address

1240 State Route 28
Suite B
Milford, OH 45150-4928
Phone (513) 575-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001331 OH Part B Supplier - Clinic/Group Practice 9436143997 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, OH

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1376 State Route 28
Ste C
Goshen, OH 45140
Phone (513) 575-2666

1240 State Route 28
Ste B
Milford, OH 45150
Phone (513) 575-5444

Practitioners & affiliated clinicians

Practitioners 2

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1609058676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 STATE ROUTE 28",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451504928",
            "telephone_number": "513-575-5444",
            "fax_number": "513-575-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 STATE ROUTE 28",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451504928",
            "telephone_number": "513-575-5444",
            "fax_number": "513-575-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTHER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-575-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.