Active NPI
Craig D Cleal, D.C.
- Chiropractor
- Warren, OH
National Provider Identifier
1659319952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3565
- Practice address
- 145 Shaffer Dr NE
Warren, OH 44484-1818 - Phone
- (330) 856-2111
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3565 | OH | Primary |
Addresses
Primary practice location
145 Shaffer Dr NE
Warren, OH 44484-1818
Mailing address
145 Shaffer Dr NE
Warren, OH 44484-1818
Phone (330) 856-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060726000000 | OH | Practitioner - Chiropractic | 9133150956 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Shaffer Dr NE
Warren, OH 44484-1818
Phone (330) 856-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3565 | OH | MD | Optometrist |
| 7593 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 212 Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Byrne Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
8720 E Market St
Ste 8
Warren, OH 44484
Phone (330) 356-2111
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.
-
- Chiropractor
- Warren, OH
- NPI 1588687438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1659319952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SHAFFER DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841818",
"telephone_number": "330-856-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SHAFFER DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841818",
"telephone_number": "330-856-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAL",
"first_name": "CRAIG",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.