Western Reserve Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WESTERN RESERVE CHIROPRACTIC LLC

Doing business as

MaxLiving Chiropractic

Practice address

55 Ghent Rd Ste C
Fairlawn, OH 44333-3351

Phone

(330) 223-5977

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Payton Mancabelli, DCNPI 1154109361

Title

Owner/Provider/Ao

Phone

(330) 223-5977

Specialties & licenses 1

Addresses

Other names 1

• MaxLiving Chiropractic 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.

• Payton Mancabelli, DC

  • Chiropractor
  • Fairlawn, OH
  • NPI 1154109361
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1699553818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GHENT RD STE C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333351",
            "telephone_number": "330-223-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GHENT RD STE C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333351",
            "telephone_number": "330-223-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MANCABELLI",
        "authorized_official_first_name": "PAYTON",
        "authorized_official_title_or_position": "OWNER/PROVIDER/AO",
        "authorized_official_telephone_number": "330-223-5977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxLiving Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Wentz, MA, LPCC
• Mark James Wesig Sr.
• Rhonda Lynn Wesig
• Gwendolyn West, LPC
• Nicole D West, LPC
• Karli Westren, SLP
• Amy White, PSYD
• Bailey Christine White
• Joseph Daniel White, LPC
• Stephanie J Whitling, PA-C

• Chiropractor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.