NPIMap

Organization Active NPI

Estadt Chiropractic Center Inc

  • Chiropractor
  • Mentor, OH
National Provider Identifier
1245376227
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ESTADT CHIROPRACTIC CENTER INC
Practice address
9031 Mentor Ave
Mentor, OH 44060-6463
Phone
(440) 255-1315
Fax
(440) 255-5832
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Gary Michael Estadt, DC
Title
Owner
Phone
(440) 255-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9031 Mentor Ave
Mentor, OH 44060-6463

Mailing address

9031 Mentor Ave
Mentor, OH 44060-6463
Phone (440) 255-1315

National Provider Directory

National Provider Directory

Locations

9031 Mentor Ave
Mentor, OH 44060
Phone (440) 255-1315

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1245376227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606463",
            "telephone_number": "440-255-1315",
            "fax_number": "440-255-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606463",
            "telephone_number": "440-255-1315",
            "fax_number": "440-255-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTADT CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "ESTADT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-255-1315",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.