Organization Active NPI

Roselawn Chiropractic Center Inc.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1457525784
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2107 Issued in OH
Legal business name
ROSELAWN CHIROPRACTIC CENTER INC.
Practice address
7733 Reading Rd
Cincinnati, OH 45237-2142
Phone
(513) 821-5757
Fax
(513) 679-4662
NPI assigned
Apr 17, 2008
Organization subpart
Yes
Parent organization
ROSELAWN CHIROPRACTIC INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Kevin Micheal Gulla
Title
President
Phone
(513) 821-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2107 OH Primary

Addresses

Primary practice location

7733 Reading Rd
Cincinnati, OH 45237-2142

Mailing address

7733 Reading Rd
Cincinnati, OH 45237-2142
Phone (513) 821-5757

Other identifiers 5

IdentifierTypeStateIssuer
27333-0002OtherOHCINCINNATI HEALTH PLAN
350048971OtherOHRAILROAD MEDICARE
000000015445OtherOHNEW ANTHEM
0990503MedicaidOH
110461728-00OtherOHWORKER'S COMP

National Provider Directory

National Provider Directory
Part of
Kevin M Gulla DC

Locations

7733 Reading Rd
Cincinnati, OH 45237
Phone (513) 821-5757

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1457525784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372142",
            "telephone_number": "513-821-5757",
            "fax_number": "513-679-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372142",
            "telephone_number": "513-821-5757",
            "fax_number": "513-679-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAWN CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSELAWN CHIROPRACTIC INC.",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "GULLA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-821-5757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CINCINNATI HEALTH PLAN",
            "identifier": "27333-0002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350048971",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW ANTHEM",
            "identifier": "000000015445",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "110461728-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.