Individual provider Active NPI

John R Needler, D.C.

  • Chiropractor
  • Columbus Grove, OH
National Provider Identifier
1801928254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
813 Issued in OH
Practice address
11010 State Route 12
Columbus Grove, OH 45830-9287
Phone
(419) 659-2176
Fax
(419) 659-2176
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 813 OH Primary

Addresses

Primary practice location

11010 State Route 12
Columbus Grove, OH 45830-9287

Mailing address

11010 State Route 12
P.O. Box 73
Columbus Grove, OH 45830-9287
Phone (419) 659-2176

Other identifiers 1

IdentifierTypeStateIssuer
0591677MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000315 OH Practitioner - Chiropractic 2163593815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Needler Chiropractic IncGroup PAC ID 6901979517, 3 clinicians

Practice addresses (Care Compare)

11010 State Route 12
Columbus Grove, OH 45830-9287
Phone (419) 659-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
813OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Needler Chiropractic Inc Chiropractor CurrentSince May 27, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11010 State Route 12
Columbus Grv, OH 45830
Phone (419) 615-3114

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801928254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 STATE ROUTE 12",
            "address_2": "P.O. BOX 73",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309287",
            "telephone_number": "419-659-2176",
            "fax_number": "419-659-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 STATE ROUTE 12",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309287",
            "telephone_number": "419-659-2176",
            "fax_number": "419-659-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDLER",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0591677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.