Individual provider Active NPI

Gregory Shawn Haylett, DC

  • Chiropractor
  • Youngstown, OH
National Provider Identifier
1225723323
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05256 Issued in OH
Practice address
8270 Youngstown Pittsburgh Rd
Youngstown, OH 44514-2809
Phone
(330) 757-8077
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05256 OH Primary

Addresses

Primary practice location

8270 Youngstown Pittsburgh Rd
Youngstown, OH 44514-2809

Mailing address

8270 Youngstown Pittsburgh Rd
Youngstown, OH 44514-2809
Phone (330) 717-8926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413000716 OH Practitioner - Chiropractic 6507231107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Thomas G Peters,LLC.Group PAC ID 8527349513, 2 clinicians

Practice addresses (Care Compare)

568 E State St
Salem, OH 44460-2933
Phone (330) 337-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Chiropractic & Acupuncture Chiropractor Current Accepting new patients
Dr Thomas G Peters,LLC Chiropractor CurrentSince May 1, 2024 Accepting new patients

Locations

568 E State St
Salem, OH 44460
Phone (330) 337-1441

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1225723323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 YOUNGSTOWN PITTSBURGH RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142809",
            "telephone_number": "330-717-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 YOUNGSTOWN PITTSBURGH RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142809",
            "telephone_number": "330-757-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLETT",
        "first_name": "GREGORY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.