Individual provider Active NPI

Candace Gesicki, DC

  • Chiropractor
  • Brecksville, OH
National Provider Identifier
1235541517
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4441 Issued in OH
Practice address
6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478
Phone
(216) 952-3830
Fax
(216) 373-4969
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4441 OH Primary

Addresses

Primary practice location

6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478

Mailing address

6909 Royalton Rd Ste 302
Brecksville, OH 44141-2478
Phone (216) 952-3830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001605 OH Practitioner - Chiropractic 2365769049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6909 Royalton Rd
Suite 302
Brecksville, OH 44141-2478
Phone (216) 952-3830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Chiropractic and Integrative Health Center, LLC CurrentSince May 30, 2014 Accepting new patients

Locations

6909 Royalton Rd
Ste 302
Brecksville, OH 44141
Phone (216) 952-3830

8803 Brecksville Rd
Ste 13
Brecksville, OH 44141
Phone (216) 952-3830

Organizations & group practices 1

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1235541517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 302",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "216-952-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 302",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "216-952-3830",
            "fax_number": "216-373-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESICKI",
        "first_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.