Active NPI
Todd Waldron, D.C.
- Chiropractor
- Cleveland, OH
National Provider Identifier
1891847737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3045
- Practice address
- 6508 Detroit Ave
Cleveland, OH 44102-3014 - Phone
- (216) 334-1401
- Fax
- (216) 334-1409
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 3045 | OH | Primary |
Addresses
Primary practice location
6508 Detroit Ave
Cleveland, OH 44102-3014
Mailing address
11201 Shaker Blvd
Ste 322
Cleveland, OH 44104-3871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2193764 | 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
- National College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3030 State Route 5
Cortland, OH 44410-9271
Phone (330) 637-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parmatown Accident Therapy | Chiropractor | Current | Accepting new patients |
| Bell Family Chiropractic Clinic Professional Corporation | Chiropractor | Current | Accepting new patients |
| Marden Physician Services, Inc | Chiropractor | Past | Accepting new patients |
| Cleveland Injury Center LLC | Chiropractor | Past | Accepting new patients |
| Pearl Road Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
3030 State Route 5
Cortland, OH 44410
Phone (330) 637-2225
Organizations & group practices 5
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.
-
- Chiropractor
- Cortland, OH
- NPI 1407942881
-
- Chiropractor
- Parma, OH
- NPI 1861058836
-
- Chiropractor
- Cleveland, OH
- NPI 1871969238
-
- Chiropractor
- Columbus, OH
- NPI 1609842707
-
- Chiropractor
- Cleveland, OH
- NPI 1083749105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1891847737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD",
"address_2": "STE 322",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441023014",
"telephone_number": "216-334-1401",
"fax_number": "216-334-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2193764",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.