Individual provider Active NPI

Brenden Hales, DC

  • Chiropractor
  • North Ridgeville, OH
National Provider Identifier
1992354757
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04907 Issued in OH
Practice address
36591 Center Ridge Rd Ste 101
North Ridgeville, OH 44039-2958
Phone
(440) 644-0064
Fax
(440) 252-0602
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04907 OH Primary

Addresses

Primary practice location

36591 Center Ridge Rd Ste 101
North Ridgeville, OH 44039-2958

Mailing address

36591 Center Ridge Rd Ste 101
North Ridgeville, OH 44039-2958
Phone (440) 644-0064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924000797 OH Practitioner - Chiropractic 5496085128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36591 Ctr Ridge Rd
North Ridgeville, OH 44039-2958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendence Health LLC CurrentSince Aug 17, 2023 Accepting new patients

Locations

36591 Center Ridge Rd
Ste 101
North Ridgeville, OH 44039
Phone (440) 644-0064

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1992354757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36591 CENTER RIDGE RD STE 101",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392958",
            "telephone_number": "440-644-0064",
            "fax_number": "440-252-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36591 CENTER RIDGE RD STE 101",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392958",
            "telephone_number": "440-644-0064",
            "fax_number": "440-252-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "BRENDEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "04907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.