Individual provider Active NPI

Dayna Kay Pudil, D.C.

  • Chiropractor
  • Mayfield Village, OH
National Provider Identifier
1053590596
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3816 Issued in OH
Practice address
6700 Beta Dr. Suite 330
Mayfield Village, OH 44143
Phone
(440) 565-7056
NPI assigned
Nov 1, 2007
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 3816 OH Primary

Addresses

Primary practice location

6700 Beta Dr. Suite 330
Mayfield Village, OH 44143

Mailing address

27700 Euclid Ave
Ste. B
Euclid, OH 44132-3531
Phone (216) 289-2632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000263 OH Practitioner - Chiropractic 1254421381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6563 Wilson Mills Rd
Suite 101
Mayfield, OH 44143-3409

6700 Beta Dr
Suite 330
Mayfield Village, OH 44143-2319

6700 Beta Dr
Suite 330
Mayfield Village, OH 44143-2363
Phone (440) 565-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Health Inc CurrentSince Mar 24, 2008 Accepting new patients
All Health Chiropractic Wellness Center Chiropractor Past Accepting new patients

Locations

6563 Wilson Mills Rd
Ste 101
Mayfield Village, OH 44143
Phone (216) 289-6970

6700 Beta Dr
Ste 330
Mayfield Village, OH 44143
Phone (440) 565-7056

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1053590596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 EUCLID AVE",
            "address_2": "STE. B",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323531",
            "telephone_number": "216-289-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BETA DR. SUITE 330",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-565-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDIL",
        "first_name": "DAYNA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.