Individual provider Active NPI

Brian C Studer, DC

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1851489819
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3333 Issued in OH
Practice address
2106 North Ridge Rd
Elyria, OH 44035-1241
Phone
(440) 240-9390
Fax
(440) 240-9370
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3333 OH Primary

Addresses

Primary practice location

2106 North Ridge Rd
Elyria, OH 44035-1241

Mailing address

2106 North Ridge Rd
Elyria, OH 44035-1241
Phone (440) 240-9390

Other identifiers 1

IdentifierTypeStateIssuer
2432273MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000002 OH Practitioner - Chiropractic 4486548484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2106 N Ridge Rd
Elyria, OH 44035-1241
Phone (440) 240-9390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3333OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Ridge Chiropractic, Inc Chiropractor CurrentSince Feb 5, 2004 Accepting new patients

Locations

2106 N Ridge Rd
Elyria, OH 44035
Phone (440) 240-9390

1915 N Ridge Rd E
Lorain, OH 44055
Phone (440) 240-9390

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1851489819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NORTH RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-240-9390",
            "fax_number": "440-240-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NORTH RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-240-9390",
            "fax_number": "440-240-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDER",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.