Healthsource of Broadview Heights

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2717 Issued in OH

Legal business name

HEALTHSOURCE OF BROADVIEW HEIGHTS

Practice address

1100 W Royalton Rd
Suite H
Broadview HTS, OH 44147-3946

Phone

(330) 328-6499

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Frank Carl Dachtler, D.C.NPI 1386764637

Title

Owner / Presidant

Phone

(330) 328-6499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Frank Carl Dachtler, DC

  • Chiropractor
  • Bedford, OH
  • NPI 1386764637
  Medicare reassignment NPD Authorized official
• Matthew John Stasek, D.C.

  • Independent Medical Examiner Chiropractor
  • Broadview Heights, OH
  • NPI 1689956518
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1518359488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W ROYALTON RD",
            "address_2": "SUITE H",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441473946",
            "telephone_number": "330-328-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W ROYALTON RD",
            "address_2": "SUITE H",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441473946",
            "telephone_number": "330-328-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF BROADVIEW HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "DACHTLER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER / PRESIDANT",
        "authorized_official_telephone_number": "330-328-6499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Gingo
• Rita Ann Gittinger, MA,CCC,SLP
• Haely Chiropractic, Inc.
• Ryan Matthew Haely, D.C.
• David A Harding, D.P.M.
• Andreana Marella Hendrickson, SLP
• Janice Lynn Hensley
• Shannon Hensley, COTA/L
• Kristine Alice Herrmann Pelagalli, M.D.
• Dawn Hilt, LPTA

• Chiropractor in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.