NPIMap

Organization Active NPI

Highland Wellness Center Inc.

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1346370749
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HIGHLAND WELLNESS CENTER INC.
Practice address
840 Brainard Rd
Cleveland, OH 44143-3106
Phone
(440) 449-1866
Fax
(440) 449-1176
NPI assigned
Mar 6, 2007
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Deborah Louise Johnson, D.CNPI 1073601977
Title
Owner
Phone
(440) 449-1866

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X OH Primary

Addresses

Primary practice location

840 Brainard Rd
Cleveland, OH 44143-3106

Mailing address

840 Brainard Rd
Cleveland, OH 44143-3106
Phone (440) 449-1866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000859 OH Part B Supplier - Clinic/Group Practice 6002885712 Receives reassigned benefits from 6 practitioners
Practice locations: Highland HTS, OH

National Provider Directory

National Provider Directory

Locations

5606 Wilson Mills Rd
Highland Heights, OH 44143
Phone (440) 449-1866

840 Brainard Rd
Highland Hts, OH 44143
Phone (440) 449-1866

Practitioners & affiliated clinicians

Practitioners 12

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1346370749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 BRAINARD RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433106",
            "telephone_number": "440-449-1866",
            "fax_number": "440-449-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 BRAINARD RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433106",
            "telephone_number": "440-449-1866",
            "fax_number": "440-449-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-449-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.