Organization Active NPI

Cleveland Chiropractic Clinic, LLC

Doing business as Alawan Pro Active Chiropractic Clinic

  • Chiropractor
  • Strongsville, OH
National Provider Identifier
1083726020
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2711 Issued in OH
Legal business name
CLEVELAND CHIROPRACTIC CLINIC, LLC
Doing business as
Alawan Pro Active Chiropractic Clinic
Practice address
14399 Pearl Rd
Strongsville, OH 44136-8713
Phone
(440) 846-1200
Fax
(440) 846-1775
NPI assigned
Aug 31, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dr. Deeb Haider Alawan, D.C.NPI 1710901319
Title
Chiropractor Owner
Phone
(440) 846-1200

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
Chiropractor 111N00000X 2711 OH Primary

Addresses

Primary practice location

14399 Pearl Rd
Strongsville, OH 44136-8713

Mailing address

14399 Pearl Rd
Strongsville, OH 44136-8713
Phone (440) 846-1200

Other identifiers 1

IdentifierTypeStateIssuer
9363961OtherOHPTAN

Other names 1

  • Alawan Pro Active Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000226 OH Part B Supplier - Clinic/Group Practice 8426055963 Receives reassigned benefits from 1 practitioner
Practice locations: Strongsville, OH

National Provider Directory

National Provider Directory

Locations

14399 Pearl Rd
Strongsville, OH 44136
Phone (440) 846-1200

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1083726020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14399 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368713",
            "telephone_number": "440-846-1200",
            "fax_number": "440-846-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14399 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368713",
            "telephone_number": "440-846-1200",
            "fax_number": "440-846-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "ALAWAN",
        "authorized_official_first_name": "DEEB",
        "authorized_official_middle_name": "HAIDER",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "440-846-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9363961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alawan Pro Active Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.