Edward H Waldo, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

867 Issued in OH

Practice address

1317 Terrace Rd NW
North Canton, OH 44720-2236

Phone

(330) 497-9797

Fax

(330) 497-0029

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952470353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 TERRACE RD NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202236",
            "telephone_number": "330-497-9797",
            "fax_number": "330-497-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 TERRACE RD NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202236",
            "telephone_number": "330-497-9797",
            "fax_number": "330-497-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "867",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "VT",
            "license": "824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450202",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BC ID",
            "identifier": "000000132415",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larah Rachael Waite, PT
• Laura B Waites, PT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Waldo Chiropractic Center, Inc.
• Walgreen Co
• Walgreen Co
• Brian Edward Walker
• Deborah Walker
• Faythe Walker

• Orthopedic Chiropractor in North Canton, OH
• Providers in North Canton, OH by specialty
• Orthopedic Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.