Organization Active NPI

Parma Family Chiropractic Inc

  • Orthopedic Chiropractor
  • Parma, OH
National Provider Identifier
1295990083
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2731 Issued in OH
Legal business name
PARMA FAMILY CHIROPRACTIC INC
Practice address
6166 Broadview Rd
Parma, OH 44134-3167
Phone
(216) 661-6200
Fax
(216) 661-7055
NPI assigned
Jul 22, 2008
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Michael P Kieklak, D.C.NPI 1538199351
Title
Ceo
Phone
(216) 661-6200

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
Orthopedic Chiropractor 111NX0800X 2731 OH Primary

Addresses

Primary practice location

6166 Broadview Rd
Parma, OH 44134-3167

Mailing address

6166 Broadview Rd
Parma, OH 44134-3167
Phone (216) 661-6200

Other identifiers 2

IdentifierTypeStateIssuer
1281458OtherOHBWC
2106705MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000648 OH Part B Supplier - Clinic/Group Practice 5395994263 Receives reassigned benefits from 1 practitioner
Practice locations: Parma, OH

National Provider Directory

National Provider Directory

Locations

6166 Broadview Rd
Parma, OH 44134
Phone (216) 661-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1295990083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343167",
            "telephone_number": "216-661-6200",
            "fax_number": "216-661-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343167",
            "telephone_number": "216-661-6200",
            "fax_number": "216-661-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMA FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "KIEKLAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-661-6200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1281458",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.