Organization Active NPI

Geneva Chiropractic Clinic, Inc

  • Chiropractor
  • Geneva, OH
National Provider Identifier
1124219845
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1222 Issued in OH
Legal business name
GENEVA CHIROPRACTIC CLINIC, INC
Practice address
1953 S Broadway
Geneva, OH 44041-8120
Phone
(440) 466-1186
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Cecilia Ann Duffy, DCNPI 1972603090
Title
Doctor, Office Manager
Phone
(440) 466-1186

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1222 OH Primary
Chiropractor 111N00000X 1229 OH
Chiropractor 111N00000X 2035 OH
Chiropractor 111N00000X 21 OH

Addresses

Primary practice location

1953 S Broadway
Geneva, OH 44041-8120

Mailing address

1953 S Broadway
Geneva, OH 44041-8120
Phone (440) 466-1186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000997 OH Part B Supplier - Clinic/Group Practice 4486812799 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0334144Geneva Chiropractic Clinic1953 S Broadway, Geneva, OH 44041Provider-performed microscopyJun 28, 2027

National Provider Directory

National Provider Directory

Locations

1953 S Broadway
Geneva, OH 44041
Phone (216) 466-1186

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1124219845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440418120",
            "telephone_number": "440-466-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440418120",
            "telephone_number": "440-466-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR, OFFICE MANAGER",
        "authorized_official_telephone_number": "440-466-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1222",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1229",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2035",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.