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LYDY CHIROPRACTIC, INC.
NPI 1073792628
Chiropractor in Crestline, OH

Active since October 31, 2007
1329 COUNTY LINE RD, CRESTLINE, OH 44827(419) 683-1298(419) 683-4023 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lydy Chiropractic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDY CHIROPRACTIC, INC. (NPI 1073792628) is a healthcare organization registered as a chiropractor in Crestline, Ohio and active in the NPI registry since October 2007. The organization lists Mikel Dean Lydy, Executor, as its authorized official.

NPPES Registry Identity

NPI1073792628
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLYDY CHIROPRACTIC, INC.
Location Address1329 COUNTY LINE RDCrestline, OH 44827-1217
Mailing Address1329 County Line RdCrestline, OH 44827-1217 · (419) 683-1298 · Fax (419) 683-4023
Phone(419) 683-1298
Fax(419) 683-4023
Organization SubpartNo
Authorized OfficialMikel Dean LydyExecutor · (419) 683-1298
Enumeration DateOctober 31, 2007
✔ NPI 1073792628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 860
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1329 COUNTY LINE RD, Crestline, OH 44827
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Other Identifiers 2

Medicare UPIN9268941OH
Medicaid0231029OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydy Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lydy Chiropractic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Wynnslo Lydy, DC
Chiropractic
NPI 1750807285
1329 COUNTY LINE RD
Crestline, OH 44827
(419) 571-6151
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydy Chiropractic, Inc.'s NPI number?

The NPI number for Lydy Chiropractic, Inc. is 1073792628. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Lydy Chiropractic, Inc. located?

Lydy Chiropractic, Inc. is located at 1329 County Line Rd, Crestline, OH 44827. The listed phone number is (419) 683-1298.

What is Lydy Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lydy Chiropractic, Inc. enrolled in Medicare?

Yes. Lydy Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lydy Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lydy Chiropractic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lydy Chiropractic, Inc. was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.