Active NPI
Christian Ernest Gedeon, DC
- Chiropractor
- Logan, OH
National Provider Identifier
1750464400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3158
- Practice address
- 12886 Grey St
Logan, OH 43138-1831 - Phone
- (740) 385-4141
- Fax
- (740) 385-3838
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3158 | OH | Primary |
Addresses
Primary practice location
12886 Grey St
Logan, OH 43138-1831
Mailing address
PO Box 29
Logan, OH 43138-1554
Phone (740) 385-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2314070 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
751 State Route 664 N
Unit D
Logan, OH 43138-9250
Phone (740) 385-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3158 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Chiropractic LTD | Chiropractor | Past | Accepting new patients |
| Lincare Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1750464400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381554",
"telephone_number": "740-385-4141",
"fax_number": "740-385-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12886 GREY ST",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381831",
"telephone_number": "740-385-4141",
"fax_number": "740-385-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDEON",
"first_name": "CHRISTIAN",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314070",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.