Active NPI
Robert H. Harris, D.C.
- Rehabilitation Chiropractor
- Woodmere, OH
National Provider Identifier
1063561678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 985
- Practice address
- 28790 Chagrin Blvd
Suite #270
Woodmere, OH 44122-4638 - Phone
- (216) 514-1515
- Fax
- (216) 514-1515
- NPI assigned
- Jan 10, 2007
- Last updated
- Dec 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 985 | OH | Primary |
Addresses
Primary practice location
28790 Chagrin Blvd
Suite #270
Woodmere, OH 44122-4638
Mailing address
28790 Chagrin Blvd
Suite #270
Woodmere, OH 44122-4638
Phone (216) 514-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607000317 | OH | Practitioner - Chiropractic | 1557343191 | Practice locations: Pepper Pike, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 985 | OH | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1063561678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28790 CHAGRIN BLVD",
"address_2": "SUITE #270",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224638",
"telephone_number": "216-514-1515",
"fax_number": "216-514-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28790 CHAGRIN BLVD",
"address_2": "SUITE #270",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224638",
"telephone_number": "216-514-1515",
"fax_number": "216-514-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBERT",
"middle_name": "H.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OH",
"license": "985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.