Individual provider Active NPI

Pooja Patel, DC

  • Chiropractor
  • Shaker Heights, OH
National Provider Identifier
1033590385
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4483 Issued in OH
Practice address
20134 Van Aken Blvd
Shaker Heights, OH 44122-3622
Phone
(850) 324-0355
NPI assigned
Jun 12, 2015
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4483 OH Primary

Addresses

Primary practice location

20134 Van Aken Blvd
Shaker Heights, OH 44122-3622

Mailing address

3848 Medina Rd
Ste 101
Medina, OH 44256-5371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4483OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Life Chiropractic Corp. Chiropractor CurrentSince Sep 15, 2024 Accepting new patients
Lifetime Family Chiropractic Chiropractor Past Accepting new patients

Locations

20140 Van Aken Blvd
Shaker Heights, OH 44122
Phone (216) 675-1710

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1033590385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 MEDINA RD",
            "address_2": "STE 101",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20134 VAN AKEN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223622",
            "telephone_number": "850-324-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.