Organization Active NPI

Cleveland Chiropractic and Integrative Health Center, LLC

  • Medical Specialty Clinic/Center
  • Brecksville, OH
National Provider Identifier
1023420304
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4441 Issued in OH
Legal business name
CLEVELAND CHIROPRACTIC AND INTEGRATIVE HEALTH CENTER, LLC
Practice address
6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478
Phone
(216) 952-3830
Fax
(216) 373-4969
NPI assigned
May 21, 2014
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Candace R Gesicki, DCNPI 1235541517
Title
Chiropractic Physician
Phone
(216) 952-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4441 OH Primary

Addresses

Primary practice location

6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478

Mailing address

6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478
Phone (216) 952-3830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317000251 OH Part B Supplier - Clinic/Group Practice 1355668112 Receives reassigned benefits from 4 practitioners
Practice locations: Brecksville, OH

National Provider Directory

National Provider Directory

Locations

6909 Royalton Rd
Ste 302
Brecksville, OH 44141
Phone (216) 952-3830

5572 Brecksville Rd
#B
Independence, OH 44131
Phone (216) 952-3830

6497 Brecksville Rd
Independence, OH 44131
Phone (216) 952-3830

7111 Brecksville Rd
Ste 3
Independence, OH 44131
Phone (216) 952-3830

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1023420304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 302",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "216-952-3830",
            "fax_number": "216-373-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 302",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "216-952-3830",
            "fax_number": "216-373-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CHIROPRACTIC AND INTEGRATIVE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "GESICKI",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "216-952-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.