Individual provider Active NPI

Craig D Cleal, D.C.

  • Chiropractor
  • Warren, OH
National Provider Identifier
1659319952
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3565 Issued in OH
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

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3565OHMDOptometrist
7593AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
212 Chiropractic LLC Chiropractor CurrentSince Feb 15, 2006 Accepting new patients
Byrne Chiropractic, Inc. Chiropractor PastSince Feb 25, 2024 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.

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.

Verify at the official NPI Registry.