Individual provider Active NPI

Nicholas Colosi II, DC

  • Chiropractor
  • Barberton, OH
National Provider Identifier
1235545229
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4454 Issued in OH
Practice address
104 3Rd St NW
Suite 103
Barberton, OH 44203-8223
Phone
(330) 848-9334
Fax
(330) 848-9332
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4454 OH Primary

Addresses

Primary practice location

104 3Rd St NW
Suite 103
Barberton, OH 44203-8223

Mailing address

10602 Tudor Cir
North Royalton, OH 44133-1985
Phone (440) 320-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4454OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1235545229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10602 TUDOR CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331985",
            "telephone_number": "440-320-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 3RD ST NW",
            "address_2": "SUITE 103",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442038223",
            "telephone_number": "330-848-9334",
            "fax_number": "330-848-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.