Organization Active NPI

Chiropractic Associates of Westlake, LLC

  • Chiropractor
  • Westlake, OH
National Provider Identifier
1295873404
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2842 Issued in OH
Legal business name
CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC
Practice address
2750 Dover Center Rd
Westlake, OH 44145-4501
Phone
(440) 808-9840
Fax
(440) 808-9862
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Thomas Anthony Coletto, D.C.NPI 1174564207
Title
D.C
Phone
(440) 808-9840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2842 OH Primary

Addresses

Primary practice location

2750 Dover Center Rd
Westlake, OH 44145-4501

Mailing address

842 Corporate Way
Suite 850
Westlake, OH 44145-1537
Phone (440) 871-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000401 OH Part B Supplier - Clinic/Group Practice 6204918642 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

2750 Dover Center Rd
Westlake, OH 44145
Phone (440) 808-9840

Practitioners & affiliated clinicians

Practitioners 1

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1295873404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CORPORATE WAY",
            "address_2": "SUITE 850",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451537",
            "telephone_number": "440-871-4700",
            "fax_number": "440-871-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 DOVER CENTER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454501",
            "telephone_number": "440-808-9840",
            "fax_number": "440-808-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "COLETTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "D.C",
        "authorized_official_telephone_number": "440-808-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.