Organization Active NPI

Rockside Health & Wellness, LLC

  • Chiropractor
  • Independence, OH
National Provider Identifier
1174821466
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCKSIDE HEALTH & WELLNESS, LLC
Practice address
6500 Rockside Rd
Suite 160
Independence, OH 44131-2368
Phone
(216) 447-9704
Fax
(216) 447-9708
NPI assigned
Mar 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mrs. Penny L Capobianco
Title
Owner
Phone
(330) 268-6659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

6500 Rockside Rd
Suite 160
Independence, OH 44131-2368

Mailing address

6500 Rockside Rd
Suite 160
Independence, OH 44131-2368
Phone (216) 447-9704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1174821466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD",
            "address_2": "SUITE 160",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312368",
            "telephone_number": "216-447-9704",
            "fax_number": "216-447-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD",
            "address_2": "SUITE 160",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312368",
            "telephone_number": "216-447-9704",
            "fax_number": "216-447-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKSIDE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-268-6659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.