John a Bondra DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

989 Issued in OH

Legal business name

JOHN A BONDRA DC INC

Practice address

1492 S Green Rd
South Euclid, OH 44121-4038

Phone

(216) 381-8700

Fax

(216) 291-4793

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Arthur Bondra Jr., D.C.NPI 1093899742

Title

President

Phone

(216) 381-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• May-Green Chiropractic Care Center Doing business as

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.

• John A. Bondra, D.C.

  • Chiropractor
  • S Euclid, OH
  • NPI 1093899742
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1679759104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214038",
            "telephone_number": "216-381-8700",
            "fax_number": "216-291-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214038",
            "telephone_number": "216-381-8700",
            "fax_number": "216-291-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A BONDRA DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BONDRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-381-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0999362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "May-Green Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arica Michelle Jacobson, APRN-CNP
• Karen M Jaffe, MD
• Thomas I Janicki, MD
• James Jenkins
• Nicholas Jezerinac, FNP
• Brianna Nicole Johnson
• Candi Johnson, CLC
• Dionna Latrice Johnson
• Jordan Isaiah Johnson, LPN
• Michonda Celeste Johnson, RN

• Chiropractor in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.