Active NPI
Robert Eugene Griesse, D.C.
- Chiropractor
- Fairlawn, OH
National Provider Identifier
1184015117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4504
- Practice address
- 2855 W Market St Ste 201
Fairlawn, OH 44333-4034 - Phone
- (234) 900-4150
- Fax
- (234) 900-4151
- NPI assigned
- Feb 12, 2015
- Last updated
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 4504 | OH | Primary |
Addresses
Primary practice location
2855 W Market St Ste 201
Fairlawn, OH 44333-4034
Mailing address
2855 W Market St Ste 201
Fairlawn, OH 44333-4034
Phone (234) 900-4150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2855 W Market St
Suite 201
Fairlawn, OH 44333-4034
Phone (234) 900-4150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BKBG Enterprises LLC | Chiropractor | Current | Accepting new patients |
| Reg Enterprises LLC | Chiropractor | Current | Accepting new patients |
| Lifesource Health Center LLC | Chiropractor | Past | Accepting new patients |
Locations
2855 W Market St
Ste 201
Fairlawn, OH 44333
Phone (234) 900-4150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1184015117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 W MARKET ST STE 201",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334034",
"telephone_number": "234-900-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 W MARKET ST STE 201",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334034",
"telephone_number": "234-900-4150",
"fax_number": "234-900-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESSE",
"first_name": "ROBERT",
"middle_name": "EUGENE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.