CHARDON FAMILY CHIROPRACTIC CLINIC INC.
NPI 1689858169
Chiropractor in Chardon, OH

Q: What is Chardon Family Chiropractic Clinic Inc.'s specialty?

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

Active since December 20, 2007

102 EAST PARK STREET, CHARDON, OH 44024(440) 286-2225(440) 286-3058 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Chardon Family Chiropractic Clinic Inc. NPPES

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

CHARDON FAMILY CHIROPRACTIC CLINIC INC. (NPI 1689858169) is a healthcare organization registered as a chiropractor in Chardon, Ohio and active in the NPI registry since December 2007. The organization lists Barry J Kotheimer, President, as its authorized official.

NPPES Registry Identity

NPI1689858169

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCHARDON FAMILY CHIROPRACTIC CLINIC INC.

Location Address102 EAST PARK STREETChardon, OH 44024-1237

Mailing Address102 East Park StreetChardon, OH 44024-1237 · (440) 286-2225 · Fax (440) 286-3058

Phone(440) 286-2225

Fax(440) 286-3058

Organization SubpartNo

Authorized OfficialBarry J KotheimerPresident · (440) 286-2225

Enumeration DateDecember 20, 2007

Last NPPES UpdateJanuary 16, 2008

✔ NPI 1689858169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · 1511

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.

102 EAST PARK STREET, Chardon, OH 44024

Open in Google Maps ↗

Other Identifiers 2

Medicare PINKO 0652622OH

Medicaid0759479OH

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)

Chardon Family Chiropractic Clinic 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 Chardon Family Chiropractic Clinic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Barry Kotheimer, DC

Chiropractic

NPI 1376615955

102 E PARK ST
Chardon, OH 44024

(440) 286-2225

✔ Accepts Medicare0.3 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 Chardon Family Chiropractic Clinic Inc.'s NPI number?

The NPI number for Chardon Family Chiropractic Clinic Inc. is 1689858169. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Chardon Family Chiropractic Clinic Inc. located?

Chardon Family Chiropractic Clinic Inc. is located at 102 East Park Street, Chardon, OH 44024. The listed phone number is (440) 286-2225.

What is Chardon Family Chiropractic Clinic Inc.'s specialty?

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

Is Chardon Family Chiropractic Clinic Inc. enrolled in Medicare?

Yes. Chardon Family Chiropractic Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chardon Family Chiropractic Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Chardon Family Chiropractic Clinic 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 Chardon Family Chiropractic Clinic Inc. was last updated on January 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.