Individual provider Active NPI

Stephen William Esdinsky, D.C.

  • Chiropractor
  • Northfield, OH
National Provider Identifier
1619211372
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4317 Issued in OH
Practice address
9309 Olde 8 Rd
Northfield, OH 44067-2060
Phone
(330) 467-6100
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Potential Chiropractic, Inc. 4 clinicians

Practice addresses (Care Compare)

155 Northland Dr
Medina, OH 44256-1534
Phone (330) 723-1441

26291 Ctr Ridge Rd
Westlake, OH 44145-4017
Phone (440) 835-8484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507001264 OH Practitioner - Chiropractic 9638588452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4317OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Potential Chiropractic, Inc. Chiropractor CurrentSince May 4, 2021 Accepting new patients
Maximum Potential Chiropractic Westlake, LLC Chiropractor CurrentSince Jun 11, 2021 Accepting new patients
Chiropractic Center of Northfield LLC Past Accepting new patients
Dr Michael Darr DC Chiropractor PastSince Jun 11, 2021 Accepting new patients

Locations

155 Northland Dr
Medina, OH 44256
Phone (330) 723-1441

26291 Center Ridge Rd
Westlake, OH 44145
Phone (440) 835-8484

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4317 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

9309 Olde 8 Rd
Northfield, OH 44067-2060

Mailing address

9207 Harrow Dr
Parma, OH 44129-1734
Phone (440) 539-0447

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2012.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1619211372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 HARROW DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441291734",
            "telephone_number": "440-539-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 OLDE 8 RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672060",
            "telephone_number": "330-467-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESDINSKY",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.