Organization Active NPI

Dr. Suzanna Massey, Inc.

  • Chiropractor
  • Cleveland Heights, OH
National Provider Identifier
1407198260
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.1917 Issued in OH
Legal business name
DR. SUZANNA MASSEY, INC.
Practice address
2179 S Taylor Rd
Cleveland Heights, OH 44118-3012
Phone
(216) 371-6200
Fax
(216) 371-1410
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Suzanna Massey, D.C.NPI 1609907492
Title
Owner
Phone
(216) 371-6200

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC.1917 OH Primary

Addresses

Primary practice location

2179 S Taylor Rd
Cleveland Heights, OH 44118-3012

Mailing address

2179 S Taylor Rd
Cleveland Heights, OH 44118-3012
Phone (216) 371-6200

Other identifiers 1

IdentifierTypeStateIssuer
0925306MedicaidOH

Other names 1

  • Taylor CHiropractic and Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130410000635 OH Part B Supplier - Clinic/Group Practice 2062658362 Receives reassigned benefits from 1 practitioner
Practice locations: University Heights, OH

National Provider Directory

National Provider Directory

Locations

2179 S Taylor Rd
Cleveland Heights, OH 44118
Phone (216) 371-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1407198260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183012",
            "telephone_number": "216-371-6200",
            "fax_number": "216-371-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183012",
            "telephone_number": "216-371-6200",
            "fax_number": "216-371-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUZANNA MASSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-371-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC.1917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor CHiropractic and Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.