David John Fakadej DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3156 Issued in OH

Legal business name

DAVID JOHN FAKADEJ DC INC

Practice address

17652 Munn Rd
Chagrin Falls, OH 44023-5425

Phone

(440) 543-2772

Fax

(440) 543-2772

NPI assigned

May 16, 2007

Last updated

Aug 22, 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. David John Fakadej, DCNPI 1760402689

Title

President

Phone

(440) 543-2771

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• David John Fakadej, D.C.

  • Chiropractor
  • Chagrin Falls, OH
  • NPI 1760402689
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619183498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17652 MUNN RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235425",
            "telephone_number": "440-543-2772",
            "fax_number": "440-543-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17652 MUNN RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235425",
            "telephone_number": "440-543-2772",
            "fax_number": "440-543-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOHN FAKADEJ DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAKADEJ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-543-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265972",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP GROUP NUMBER",
            "identifier": "341964854-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas George Coreno, D.D.S.
• Tiffany Craig, RN, BSN
• Christopher Crowley, PHARMD
• William Cuffari, PHARMD
• David D. Starr Dmdms
• Kathleen H. Davis, LISW
• Jason De Roulet, MD
• Melissa Deboth, APRN
• Deep Knead Massage Therapies L.L.C
• Quran Dejarnette

• Chiropractor in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.