Chiro Cleveland LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3883 Issued in OH

Legal business name

CHIRO CLEVELAND LLC

Practice address

4269 Pearl Rd Ste 200
Cleveland, OH 44109-4231

Phone

(216) 739-9000

Fax

(216) 739-9001

NPI assigned

Oct 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abraham Medlong, D.C.

Title

Owner

Phone

(216) 739-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1003126434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 PEARL RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094231",
            "telephone_number": "216-739-9000",
            "fax_number": "216-739-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 PEARL RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094231",
            "telephone_number": "216-739-9000",
            "fax_number": "216-739-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "MEDLONG",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-739-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohan J Chinwalla
• Ignacio Chiong, MD
• Katya Hernandez Chiong, M.D.
• Katherine Lorraine Chiprean
• Ligia Rahela Chirla
• Chiropractic Wellness Center of Greater Cleveland
• Abby Gurtrude Chisholm, LPN
• Amani Chisholm
• Catherine Jordan Chisholm, PA-C
• Dana Chisholm

• Chiropractor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.