Active NPI
Logan Family Chiropractic & Rehabilitation Center
- Chiropractor
- Logan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3158
- Legal business name
- LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER
- Practice address
- 751 State Route 664 N Unit D
Logan, OH 43138-9250 - Phone
- (740) 385-4141
- Fax
- (740) 385-3838
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christian Ernest Gedeon, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (740) 385-4141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3158 | OH | Primary |
Addresses
Primary practice location
751 State Route 664 N Unit D
Logan, OH 43138-9250
Mailing address
PO Box 29
Logan, OH 43138-1831
Phone (740) 385-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2314070 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12886 Grey St
Logan, OH 43138
Phone (740) 380-6124
12866 Grey St
Logan, OH 43138
Phone (740) 385-4141
383 W Front St
Logan, OH 43138
Phone (740) 385-4141
751 State Route 664 N
Unit D
Logan, OH 43138
Phone (740) 385-4141
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Logan, OH
- NPI 1750464400
-
- Massage Therapist
- Logan, OH
- NPI 1427455732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571011200000",
"number": "1982804175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "LOGAN",
"state": "OH",
"postal_code": "431381831",
"telephone_number": "740-385-4141",
"fax_number": "740-385-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 STATE ROUTE 664 N UNIT D",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389250",
"telephone_number": "740-385-4141",
"fax_number": "740-385-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2019-10-14",
"status": "A",
"authorized_official_last_name": "GEDEON",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "ERNEST",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "740-385-4141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "3158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314070",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.