Cleveland Performance Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEVELAND PERFORMANCE CHIROPRACTIC, LLC

Practice address

15713 Detroit Ave
Lakewood, OH 44107-3709

Phone

(330) 554-4232

NPI assigned

Jan 13, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Burroughs, DCNPI 1578070280

Title

Owner

Phone

(330) 554-4232

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Burroughs, DC

  • Chiropractor
  • Lakewood, OH
  • NPI 1578070280
  Authorized official Same address or phone
• Ryan Patrick Markowitz, DC

  • Chiropractor
  • Lakewood, OH
  • NPI 1548079403
  NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1568002137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 MADISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15713 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073709",
            "telephone_number": "330-554-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W College St",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442403509",
            "country_code": "US",
            "telephone_number": "440-575-5323",
            "fax_number": "440-575-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVELAND PERFORMANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-554-4232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cleperformancechiro.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15713 Detroit Ave",
            "city": "Lakewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441073709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joselita Chua, M.D.
• City of Lakewood
• City of Lakewood - Division of Health
• Cle Oms Lakewood/Rocky River - Jeffrey W. Kosman DDS Inc.
• Cleveland Clinic Foundation (Lakewood Family Health Center)
• Thomas P Cliffel, MD
• Barbara Jeannette Closen, LISW
• Andrew Morgan Cluts, DPT
• Nicole L Cochran, DDS
• Kim Colegrove

• Clinic/Center in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.