Individual provider Active NPI

Jeffery Allen Przybysz, D.C.

  • Chiropractor
  • Willoughby, OH
National Provider Identifier
1548208358
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
977 Issued in OH
Practice address
35104 Euclid Ave Ste 209
Willoughby, OH 44094-4564
Phone
(440) 942-1052
Fax
(440) 942-2288
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 977 OH Primary

Addresses

Primary practice location

35104 Euclid Ave Ste 209
Willoughby, OH 44094-4564

Mailing address

35104 Euclid Ave Ste 209
Willoughby, OH 44094-4564
Phone (440) 942-1052

Other identifiers 2

IdentifierTypeStateIssuer
0513046MedicaidOH
350047128OtherOHMEDICARE RAILROAD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000410 OH Practitioner - Chiropractic 9830271279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
977OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Chiropractic, Inc. Chiropractor CurrentSince Jan 15, 2008 Accepting new patients

Locations

842 Corporate Way
Ste 850
Westlake, OH 44145
Phone (440) 296-2050

34601 Ridge Rd
Willoughby, OH 44094
Phone (440) 943-1052

35104 Euclid Ave
Ste 209
Willoughby, OH 44094
Phone (440) 942-1052

36001 Euclid Ave
Ste A18
Willoughby, OH 44094
Phone (440) 942-1052

36001 Euclid Ave
#A18
Willoughby, OH 44094

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1548208358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35104 EUCLID AVE STE 209",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944564",
            "telephone_number": "440-942-1052",
            "fax_number": "440-942-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35104 EUCLID AVE STE 209",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944564",
            "telephone_number": "440-942-1052",
            "fax_number": "440-942-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYSZ",
        "first_name": "JEFFERY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "350047128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.