CHIRO MED HOLISTIC HEALTH CENTER INC — NPI 1215135173 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation in MAINEVILLE, OH)

CMS-1500 Box 24J / 33a • NPI

1215135173

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NR0400X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation

Box 32 Service Location & ZIP+4

3116 W US HIGHWAY 22 AND 3, STE O, MAINEVILLE, OH, 45039-8103

✓ 9-Digit EDI 837 ZIP+4 (45039-8103)

Practice Phone & Referral Fax

(513) 683-4387

Fax: (513) 683-9219

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215135173 (CHIRO MED HOLISTIC HEALTH CENTER INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215135173` (NPI-2 Organization / Facility)
Provider / Legal Name	CHIRO MED HOLISTIC HEALTH CENTER INC
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation NUCC Code: `111NR0400X` (Chiropractor, Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3116 W US HIGHWAY 22 AND 3, STE O, MAINEVILLE, OH, 45039-8103
Practice Telephone / Fax	Tel: (513) 683-4387 \| Fax: (513) 683-9219
Administrative Mailing Address	3116 W US HIGHWAY 22 AND 3, MAINEVILLE, OH, 45039-8103
Enumeration & Last Sync	Enumerated: 2007-07-03 \| CMS Record Updated: 2013-08-09
Authorized Official	BRIAN DUERMIT (owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3116 W US HIGHWAY 22 AND 3, STE O, MAINEVILLE, OH, 45039-8103

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Plain-English Taxonomy & CMS Crosswalk (111NR0400X)

What Does Taxonomy Code 111NR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0400X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHIRO MED HOLISTIC HEALTH CENTER INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NR0400X` — Chiropractor, Rehabilitation Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation	State: OH \| License: `2097` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHIRO MED HOLISTIC HEALTH CENTER INC (NPI #1215135173)