Individual provider Active NPI

Paul Infield, DC, DACBSP

  • Chiropractor
  • Euclid, OH
National Provider Identifier
1609110303
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4333 Issued in OH
Practice address
22570 Lake Shore Blvd
Euclid, OH 44123-1315
Phone
(216) 938-7889
Fax
(216) 965-0872
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4333 OH Primary

Addresses

Primary practice location

22570 Lake Shore Blvd
Euclid, OH 44123-1315

Mailing address

22570 Lake Shore Blvd
Euclid, OH 44123-1315
Phone (216) 938-7889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130710000211 OH Practitioner - Chiropractic 4789824061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infield Chiropractic Office, Inc.Group PAC ID 3678643194, 5 clinicians

Practice addresses (Care Compare)

22570 Lake Shore Blvd
Euclid, OH 44123-1315
Phone (216) 938-7889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infield Chiropractic Office, Inc. Chiropractor CurrentSince Jan 10, 1990 Accepting new patients
Infield Chiropractic Clinic LLC Chiropractor CurrentSince Jan 10, 1990 Accepting new patients

Locations

22570 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 938-7889

6177 Lake St
Kingsville, OH 44048
Phone (440) 224-0680

Organizations & group practices 2

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1609110303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22570 LAKE SHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231315",
            "telephone_number": "216-938-7889",
            "fax_number": "216-965-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22570 LAKE SHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231315",
            "telephone_number": "216-938-7889",
            "fax_number": "216-965-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFIELD",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC, DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.

Verify at the official NPI Registry.