CHIROPRACTIC 419 LLC
NPI 1255684684
Chiropractor in Maumee, OH

Active since October 23, 2012
6546 WEATHERFIELD CT STE C1, MAUMEE, OH 43537(419) 720-1472(419) 720-1475 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2025, Oct 2, 2020 (2 updates tracked since 2020).

About Chiropractic 419 Llc NPPES

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

CHIROPRACTIC 419 LLC (NPI 1255684684), doing business as Healthsource Chiropractic South Toledo, is a healthcare organization registered as a chiropractor in Maumee, Ohio and active in the NPI registry since October 2012. The organization lists Jeffrey Lee Koepfler, Member/doctor, as its authorized official.

NPPES Registry Identity

NPI1255684684
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROPRACTIC 419 LLC
Location Address6546 WEATHERFIELD CT STE C1Maumee, OH 43537-9255
Mailing Address6546 Weatherfield Ct Ste C1Maumee, OH 43537-9255 · (419) 720-1472 · Fax (419) 720-1475
Fax(419) 720-1475
Organization SubpartNo
Authorized OfficialJeffrey Lee KoepflerMember/doctor · (419) 720-1472
Enumeration DateOctober 23, 2012
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1255684684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 2089
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.
6546 WEATHERFIELD CT STE C1, Maumee, OH 43537

Other Names 1

Doing Business AsHealthsource Chiropractic South Toledo

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiropractic 419 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chiropractic 419 LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1972662054
6546 WEATHERFIELD CT STE C1
Maumee, OH 43537
(419) 720-1472
Same address
Chiropractic
NPI 1023721131
4400 HEATHERDOWNS BLVD STE 5A
Toledo, OH 43614
(419) 720-1472
3.1 mi

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 Chiropractic 419 LLC's NPI number?

The NPI number for Chiropractic 419 LLC is 1255684684. It was assigned to this organization in the NPPES registry on October 23, 2012. The provider is doing business as HealthSource Chiropractic South Toledo.

Where is Chiropractic 419 LLC located?

Chiropractic 419 LLC is located at 6546 Weatherfield Ct Ste C1, Maumee, OH 43537. The listed phone number is (419) 720-1472.

What is Chiropractic 419 LLC's specialty?

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

Is Chiropractic 419 LLC enrolled in Medicare?

Yes. Chiropractic 419 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chiropractic 419 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Chiropractic 419 LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chiropractic 419 LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Chiropractic 419 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chiropractic 419 LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.