CHARDON FAMILY CHIROPRACTIC CLINIC INC. – Chiropractor, NPI 1689858169

CHARDON FAMILY CHIROPRACTIC CLINIC INC. is a healthcare provider. based in Chardon, Ohio. specializing in Chiropractor. The organization holds a License No. 1511 (OH). The NPI Number for CHARDON FAMILY CHIROPRACTIC CLINIC INC. is 1689858169

Main info

Organization
Name
CHARDON FAMILY CHIROPRACTIC CLINIC INC.
NPI
1689858169
Phone
(440) 286-2225
Address
102 EAST PARK STREET
Authorized Official
DR. BARRY J KOTHEIMER PRESIDENT D.C.
Enumeration Date
20 December 2007
Last Update Date
16 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for CHARDON FAMILY CHIROPRACTIC CLINIC INC.

  • 102, East Park Street, Chardon Courthouse Square Historic District, Chardon, Geauga County, Ohio, 44024, United States

    CHARDON, OH 440241237

    Phone: (440) 286-2225

    Fax: (440) 286-3058

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (647 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080129000320OClinic/Group PracticeOH2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44024)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CHARDON FAMILY CHIROPRACTIC CLINIC INC.?
CHARDON FAMILY CHIROPRACTIC CLINIC INC. — NPI 1689858169 — is the standard way to identify this listing.
Does the file indicate CHARDON FAMILY CHIROPRACTIC CLINIC INC. is practicing under active NPI?
Directory data currently reports CHARDON FAMILY CHIROPRACTIC CLINIC INC. as active.
What taxonomy line describes CHARDON FAMILY CHIROPRACTIC CLINIC INC.?
For research purposes, treat CHARDON FAMILY CHIROPRACTIC CLINIC INC. as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHARDON FAMILY CHIROPRACTIC CLINIC INC. based?
CHARDON FAMILY CHIROPRACTIC CLINIC INC. is tied to Chardon, Ohio in the data we show; additional addresses may exist on the full record.
Why does CHARDON FAMILY CHIROPRACTIC CLINIC INC. have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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