Active NPI
Michael Dean Gruich, D.C.
- Chiropractor
- Fairlawn, OH
National Provider Identifier
1285709907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- OH1447
- Practice address
- 55 Shiawassee Ave
Fairlawn, OH 44333-3700 - Phone
- (330) 836-5000
- Fax
- (330) 836-5015
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OH1447 | OH | Primary |
Addresses
Primary practice location
55 Shiawassee Ave
Fairlawn, OH 44333-3700
Mailing address
55 Shiawassee Ave
Fairlawn, OH 44333-3700
Phone (330) 836-5000
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1285709907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SHIAWASSEE AVE",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333700",
"telephone_number": "330-836-5000",
"fax_number": "330-836-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SHIAWASSEE AVE",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333700",
"telephone_number": "330-836-5000",
"fax_number": "330-836-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUICH",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "OH1447",
"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 Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.