Individual provider Active NPI

Nicholas Adam Husser, D.C.

  • Chiropractor
  • Brunswick, OH
National Provider Identifier
1013101542
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3834 Issued in OH
Practice address
4036 Center Rd
Suite a
Brunswick, OH 44212-5696
Phone
(330) 460-5151
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3834 OH Primary

Addresses

Primary practice location

4036 Center Rd
Suite a
Brunswick, OH 44212-5696

Mailing address

3635 Edgebrooke Dr
Apt 309
Brunswick, OH 44212-5696
Phone (330) 461-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000660 OH Practitioner - Chiropractic 7719068246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4070 Ctr Rd
Brunswick, OH 44212-2946
Phone (330) 460-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3834OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Chiropractic, LLC Chiropractor CurrentSince Sep 17, 2007 Accepting new patients

Locations

4036 Center Rd
#A
Brunswick, OH 44212
Phone (330) 460-5151

4070 Center Rd
Brunswick, OH 44212
Phone (330) 460-5151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1013101542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 EDGEBROOKE DR",
            "address_2": "APT 309",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125696",
            "telephone_number": "330-461-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 CENTER RD",
            "address_2": "SUITE A",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125696",
            "telephone_number": "330-460-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSER",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.