Individual provider Active NPI

Kreg Dillon Huffer

  • Chiropractor
  • Dublin, OH
National Provider Identifier
1861008161
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04712 Issued in OH
Practice address
6631 Commerce Pkwy Ste R
Dublin, OH 43017-3239
Phone
(614) 401-2021
NPI assigned
Sep 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 04712 OH Primary

Addresses

Primary practice location

6631 Commerce Pkwy Ste R
Dublin, OH 43017-3239

Mailing address

2156 Derby Dr
Marysville, OH 43040-8143
Phone (937) 638-4909

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL ChiroTouch Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003511 OH Practitioner - Chiropractic 0042639338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Optimal Health HoldingsGroup PAC ID 8325414261, 3 clinicians

Practice addresses (Care Compare)

6631 Commerce Pkwy
Dublin, OH 43017-3239
Phone (614) 401-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04712OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Huffer Chiropractic, Inc. Chiropractor Current Accepting new patients
Optimal Health Holdings Chiropractor CurrentSince Sep 19, 2022 Accepting new patients
Patriot Holdings of Ohio, LLC Chiropractor PastSince Sep 1, 2020 Accepting new patients

Locations

6631 Commerce Pkwy
Ste R
Dublin, OH 43017
Phone (614) 360-2600

6631 Commerce Pkwy
Dublin, OH 43017
Phone (614) 401-2021

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1861008161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 DERBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408143",
            "telephone_number": "937-638-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 COMMERCE PKWY STE R",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173239",
            "telephone_number": "614-401-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFER",
        "first_name": "KREG",
        "middle_name": "DILLON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "04712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6631 Commerce Pkwy Ste R",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430173239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.