Cleveland Family Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3600 Issued in WI

Legal business name

CLEVELAND FAMILY CHIROPRACTIC CENTER, INC.

Practice address

112 E Walnut St
River Falls, WI 54022-2439

Phone

(715) 425-0333

Fax

(715) 425-2273

NPI assigned

Dec 12, 2006

Last updated

Jan 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Ryan Cleveland, D.C.NPI 1730102328

Title

Vice President

Phone

(715) 425-0333

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Joshua Ryan Cleveland, D.C.

  • Chiropractor
  • River Falls, WI
  • NPI 1730102328
  Medicare reassignment Care Compare group NPD Authorized official
• Gina Rebecca Cleveland, D.C.

  • Chiropractor
  • River Falls, WI
  • NPI 1669495354
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1326108804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E WALNUT ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222439",
            "telephone_number": "715-425-0333",
            "fax_number": "715-425-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E WALNUT ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222439",
            "telephone_number": "715-425-0333",
            "fax_number": "715-425-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-425-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38999500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38906800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38926900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Elizabeth Charles, LPC
• Jennifer Louise Chase, PHARM.D, RPH
• Chiropractic Family Health Center
• City of River Falls (River Falls Area Ambulance Service)
• Matthew C Clayton, MD
• Gina Rebecca Cleveland, D.C.
• Joshua Ryan Cleveland, D.C.
• Karr1 Colberg, M.S.T., CCC-SLP
• Gary Thomas Cottrell, PHD CCC A
• Jennifer Kristen Crim

• Chiropractor in River Falls, WI
• Providers in River Falls, WI by specialty
• Chiropractor in Wisconsin

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