NPIMap

Organization Active NPI

Pearl Road Chiropractic, Inc

Doing business as Detroit Shoreway Chiropractic

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1083749105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEARL ROAD CHIROPRACTIC, INC
Doing business as
Detroit Shoreway Chiropractic
Practice address
6508 Detroit Ave
Cleveland, OH 44102-3014
Phone
(216) 334-1401
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Buffie L Rome
Title
Business Office Manager
Phone
(504) 467-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6508 Detroit Ave
Cleveland, OH 44102-3014

Mailing address

1919 Veteran's Boulevard
Suite 200
Kenner, LA 70062

Other names 1

  • Detroit Shoreway Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6508 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-1401

Practitioners & affiliated clinicians

Practitioners 6

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083749105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERAN'S BOULEVARD",
            "address_2": "SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023014",
            "telephone_number": "216-334-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL ROAD CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-467-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Shoreway Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.