Individual provider Active NPI

James G Oreilly, DC

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1669582441
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3139 Issued in OH
Practice address
6829 Broadway Avenue
Cleveland, OH 44105-1313
Phone
(216) 271-1133
Fax
(216) 271-1325
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3139 OH Primary

Addresses

Primary practice location

6829 Broadway Avenue
Cleveland, OH 44105-1313

Mailing address

6829 Broadway Avenue
Cleveland, OH 44105-1313
Phone (216) 271-1133

Other identifiers 1

IdentifierTypeStateIssuer
2262242MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3139OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Lifeforce Corporation Chiropractor CurrentSince Jun 16, 2011 Accepting new patients
Southeast Lifeforce Corporation Chiropractor CurrentSince Aug 5, 2011 Accepting new patients
Southeast Chiropractic and Therapy Center Inc Chiropractor PastSince Jun 1, 2011 Accepting new patients
F O R M E Medical & Rehab Center of Fremont, Inc Chiropractor Past Accepting new patients

Locations

3310 Warren Rd
Cleveland, OH 44111
Phone (216) 476-1700

23131 Emery Rd
Warrensvl Hts, OH 44128
Phone (216) 514-9590

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1669582441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 BROADWAY AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051313",
            "telephone_number": "216-271-1133",
            "fax_number": "216-271-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 BROADWAY AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051313",
            "telephone_number": "216-271-1133",
            "fax_number": "216-271-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2262242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.