Kody Severino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4717 Issued in OH

Practice address

3029 Smith Rd Ste 400
Fairlawn, OH 44333-3366

Phone

(330) 670-9400

Fax

(330) 670-9401

NPI assigned

May 11, 2017

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Family Chiropractic LLCGroup PAC ID 9032361563, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak Family Chiropractic LLC

  • Chiropractor
  • Fairlawn, OH
  • NPI 1649528902
  Medicare reassignment Care Compare group
• Fairlawn Foot & Ankle Clinic Inc

  • Podiatrist
  • Fairlawn, OH
  • NPI 1619189560
  NPD (past)
• Freedman Clinic of Chiropractic LLC

  • Chiropractor
  • Fairlawn, OH
  • NPI 1508925314
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1407383243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 SMITH RD STE 400",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333366",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 SMITH RD STE 400",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333366",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "KODY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selson Clinics II, Inc
• Senior Care Solutions of Ohio LLC
• Daniel Sensius, PTA
• Michael D Serene, MD
• Isaac Sernoffsky
• Melissa Sexton, PMHNP-BC
• SGM Health Screening
• Gabriella M Shabo
• Sara Shaffer, M.ED, BCBA
• Bharat J Shah, M.D.

• Chiropractor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.