Individual provider Active NPI

Brian Pajevic, DC

  • Chiropractor
  • Medina, OH
National Provider Identifier
1063983369
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04828 Issued in OH
Practice address
740 E Washington St Ste E1
Medina, OH 44256-2136
Phone
(330) 435-8630
NPI assigned
Dec 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04828 OH Primary

Addresses

Primary practice location

740 E Washington St Ste E1
Medina, OH 44256-2136

Mailing address

740 E Washington St Ste E1
Medina, OH 44256-2136
Phone (330) 435-8630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000929 OH Practitioner - Chiropractic 4587903844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2860 Medina Rd
Medina, OH 44256-8275
Phone (330) 435-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pajevic Chiropractic and Natural Health LLC Chiropractor CurrentSince Dec 25, 2018 Accepting new patients
New Horizon Chiropractic Inc Chiropractor PastSince May 12, 2024 Accepting new patients

Locations

4087 Medina Rd
Ste 400
Medina, OH 44256
Phone (330) 435-8630

740 E Washington St
Ste E1
Medina, OH 44256
Phone (330) 435-8630

2860 Medina Rd
Medina, OH 44256
Phone (330) 435-8630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1063983369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E WASHINGTON ST STE E1",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562136",
            "telephone_number": "330-435-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E WASHINGTON ST STE E1",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562136",
            "telephone_number": "330-435-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJEVIC",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.