NPIMap

Organization Active NPI

Van Aken Health Center, Inc.

  • Chiropractor
  • Shaker Heights, OH
National Provider Identifier
1114133857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2432 Issued in OH
Legal business name
VAN AKEN HEALTH CENTER, INC.
Doing business as
Van Aken Therapy Center
Practice address
20119 Van Aken Blvd
Suite 205
Shaker Heights, OH 44122-3636
Phone
(216) 561-1994
Fax
(216) 561-0553
NPI assigned
May 16, 2007
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
Dr. Raymond Michael Broccoli, D.C.
Title
Owner
Phone
(216) 561-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2432 OH Primary

Addresses

Primary practice location

20119 Van Aken Blvd
Suite 205
Shaker Heights, OH 44122-3636

Mailing address

20119 Van Aken Blvd
Suite 205
Shaker Heights, OH 44122-3636
Phone (216) 561-1994

Other names 1

  • Van Aken Therapy Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114133857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119 VAN AKEN BLVD",
            "address_2": "SUITE 205",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223636",
            "telephone_number": "216-561-1994",
            "fax_number": "216-561-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20119 VAN AKEN BLVD",
            "address_2": "SUITE 205",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223636",
            "telephone_number": "216-561-1994",
            "fax_number": "216-561-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN AKEN HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCCOLI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-561-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Aken Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shaker Heights, 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.