Gregory Donald Klyczek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2409 Issued in OH

Practice address

24767 Lorain Rd
North Olmsted, OH 44070-2070

Phone

(440) 777-3595

NPI assigned

Nov 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Health & Rehabilitation, Inc.

  dba Lorain Road Health Care

  • Clinic/Center
  • North Olmsted, OH
  • NPI 1063683811
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1336122142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 W 229TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261080",
            "telephone_number": "440-779-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24767 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702070",
            "telephone_number": "440-777-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYCZEK",
        "first_name": "GREGORY",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnia Kholief, DDS
• Julia Kathryn Kilroy, PA-C
• Dug Soo Kim, DMD
• Elizabeth Kitchen, M.S., R.D., L.D.
• Nancy Ann Klein, LPCC
• Ellen Knotek, M.A. CCC-SLP
• Koalaty Home Care
• Yvette G Kolta
• Brittany Kopena, APRN, PMHNP
• Anthony Wayne Korte, RPH

• Chiropractor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.