Active NPI
Chagrin Valley Chiropractic and Acupuncture Center, LLC
- Chiropractor
- Chagrin Falls, OH
National Provider Identifier
1386836906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011151
- Legal business name
- CHAGRIN VALLEY CHIROPRACTIC AND ACUPUNCTURE CENTER, LLC
- Practice address
- 516 Washington St
Ste D
Chagrin Falls, OH 44022-4402 - Phone
- (440) 247-5383
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivan Alan Nassif, D.C.
- Title
- Owner
- Phone
- (440) 247-5383
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011151 | NY | Primary |
Addresses
Primary practice location
516 Washington St
Ste D
Chagrin Falls, OH 44022-4402
Mailing address
516 Washington St
Ste D
Chagrin Falls, OH 44022-4402
Phone (440) 247-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
529 Washington St
#200
Chagrin Falls, OH 44022
Phone (440) 247-5383
7170 Chagrin Rd
Chagrin Falls, OH 44023
Phone (440) 247-5383
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chagrin Falls, OH
- NPI 1407831423
-
- Chiropractor
- Chagrin Falls, OH
- NPI 1942141478
-
- Orthopedic Physical Therapist
- Beachwood, OH
- NPI 1174563001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1386836906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 WASHINGTON ST",
"address_2": "STE D",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440224402",
"telephone_number": "440-247-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 WASHINGTON ST",
"address_2": "STE D",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440224402",
"telephone_number": "440-247-5383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAGRIN VALLEY CHIROPRACTIC AND ACUPUNCTURE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "NASSIF",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-247-5383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "011151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.