Active NPI
Michael Paul Kieklak, D.C.
- Orthopedic Chiropractor
- Parma, OH
National Provider Identifier
1538199351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 2731
- Practice address
- 6166 Broadview Rd
Parma, OH 44134-3167 - Phone
- (216) 661-6200
- Fax
- (216) 661-7055
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 2731 | OH | Primary |
Addresses
Primary practice location
6166 Broadview Rd
Parma, OH 44134-3167
Mailing address
6166 Broadview Rd
Parma, OH 44134-3167
Phone (216) 661-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1281458 | Other | OH | BWC PROVIDER NO. |
| 2106705 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6166 Broadview Rd
Parma, OH 44134-3167
Phone (216) 661-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2731 | OH | MD | Orthopedic Chiropractor |
Organizations & group practices 1
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.
-
- Orthopedic Chiropractor
- Parma, OH
- NPI 1295990083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1538199351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6166 BROADVIEW RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441343167",
"telephone_number": "216-661-6200",
"fax_number": "216-661-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6166 BROADVIEW RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441343167",
"telephone_number": "216-661-6200",
"fax_number": "216-661-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEKLAK",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OH",
"license": "2731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC PROVIDER NO.",
"identifier": "1281458",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106705",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.