Active NPI
Angela Mastronardi, D.C., L.L.C.
- Chiropractor
- Fairview Park, OH
National Provider Identifier
1083757579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2651
- Practice address
- 21245 Lorain Rd Ste 111
Fairview Park, OH 44126-2138 - Phone
- (440) 212-1901
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2651 | OH | Primary |
Addresses
Primary practice location
21245 Lorain Rd Ste 111
Fairview Park, OH 44126-2138
Mailing address
350 Long Pointe Dr
Avon Lake, OH 44012-2424
Phone (440) 212-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2651 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Gajkowski | Current | Accepting new patients | |
| Dunnigan Chiropractic | Chiropractor | Past | Accepting new patients |
| Chiropractic & Spinal Rehabilitation Clinic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1458 Copley Rd
Akron, OH 44320
Phone (330) 836-8661
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1083757579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LONG POINTE DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122424",
"telephone_number": "440-212-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21245 LORAIN RD STE 111",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262138",
"telephone_number": "440-212-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRONARDI",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "D.C., L.L.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.