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Active NPI 1518734482 Individual Practitioner Male Practitioner

Dr. Nicholas Joseph Dewald , DC

Chiropractor • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Dewald, DC is a certified Chiropractor practicing in Fort Wayne, IN. With approximately 3 years of clinical experience since graduating from Life Chiropractic College in 2023, Dr. Dewald delivers high-quality medical care to the local community at 9614 LIMA RD STE 104.

Dr. Dewald is affiliated with Legacy Family Chiropractic Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9614 Lima Rd Ste 104

Fort Wayne, IN 468189279

Telephone 2604426025

Medicare Profile & Education

Medical School

Life Chiropractic College

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fort Wayne, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -14.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
85 Specialists

Practicing in Fort Wayne, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dewald (3 Years) 3 Yrs
Fort Wayne Specialty Average (17.6 Years) 17.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-12-11
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 08003397A

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.

Hospital & Practice Group Affiliations

Legacy Family Chiropractic Llc

550 W 300, Warsaw, IN 465826940

Phone: 3177622063

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2023

Registered at 9614 LIMA RD STE 104, FORT WAYNE, IN 468189279 (Tel: 2604426025)

📍
Updated Business Mailing Address December 11, 2023

Registered at 12894 GANNET CT, FORT WAYNE, IN 468451285 (Tel: 2604426025)

👤
Provider Name / Credentials Updated December 11, 2023

Recorded as NICHOLAS DEWALD, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Chiropractor (License #08003397A in IN)

🟢
Initial NPI Registration & Enumeration December 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518734482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2023
Last Update: December 11, 2023
Sole Proprietor: Yes

Mailing Address

12894 Gannet Ct

Fort Wayne, IN 468451285

Phone: 2604426025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.