Organization Active NPI

Michael Polsinelli

  • Chiropractor
  • Wickliffe, OH
National Provider Identifier
1457537755
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3327 Issued in OH
Legal business name
MICHAEL POLSINELLI
Practice address
27970 Chardon Road
Wickliffe, OH 44092-2706
Phone
(440) 943-6411
Fax
(440) 943-6716
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Michael Polsinelli, D.C.
Title
Chiropractor
Phone
(440) 943-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3327 OH Primary

Addresses

Primary practice location

27970 Chardon Road
Wickliffe, OH 44092-2706

Mailing address

27970 Chardon Rd
Wickliffe, OH 44092-2706
Phone (440) 943-6411

Other identifiers 1

IdentifierTypeStateIssuer
SP04481OtherOHSOLE PROVIDER NUMBER

Other names 1

  • Advanced Spinal Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

27970 Chardon Rd
Willoughby Hills, OH 44092
Phone (440) 943-6411

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1457537755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27970 CHARDON RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922706",
            "telephone_number": "440-943-6411",
            "fax_number": "440-943-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 CHARDON ROAD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922706",
            "telephone_number": "440-943-6411",
            "fax_number": "440-943-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL POLSINELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "POLSINELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "440-943-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROVIDER NUMBER",
            "identifier": "SP04481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spinal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.