Benjamin J Knoderer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4569 Issued in OH

Practice address

3333 Massillon Rd
Suite 206
Akron, OH 44312-5981

Phone

(330) 896-2030

Fax

(330) 899-0527

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Knoderer Chiropractic Center LLC

  dba Kettering Chiropractic Center

  • Chiropractor
  • Kettering, OH
  • NPI 1265014294
  Medicare reassignment NPD Authorized official
• Kettering Chiropractic Center Inc

  • Chiropractor
  • Kettering, OH
  • NPI 1265568760
  NPD (past)
• Rise Chiropractic and Wellness

  • Chiropractor
  • Stow, OH
  • NPI 1730968611
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1649643453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125981",
            "telephone_number": "330-896-2030",
            "fax_number": "330-899-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125981",
            "telephone_number": "330-896-2030",
            "fax_number": "330-899-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODERER",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Knight, OD
• Melinda K Knight, MD
• Hailey Knisley
• Janis Knoble
• Jennifer Lynn Knobloch, C.T
• Megan Knoepfler, LSW
• Kim B. Knopp, R.D.
• Carl R Knorr, CDCA
• Nicole Anne Knotek, MD
• Brittany Cherese Knott, RN

• Chiropractor in Akron, OH
• Providers in Akron, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.