Organization Active NPI

Karl Jeske DC Inc.

Doing business as Jeske Chiropractic Clinic

  • Chiropractor
  • Parma, OH
National Provider Identifier
1699982405
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2972 Issued in OH
Legal business name
KARL JESKE DC INC.
Doing business as
Jeske Chiropractic Clinic
Practice address
5850 Ridge Rd
Suite a
Parma, OH 44129-3166
Phone
(440) 882-3200
Fax
(440) 882-3201
NPI assigned
May 17, 2007
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Karl Hans Jeske, D.C.NPI 1790906485
Title
President
Phone
(440) 882-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2972 OH Primary

Addresses

Primary practice location

5850 Ridge Rd
Suite a
Parma, OH 44129-3166

Mailing address

5850 Ridge Rd
Suite a
Parma, OH 44129-3166
Phone (440) 882-3200

Other names 1

  • Jeske Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000549 OH Part B Supplier - Clinic/Group Practice 8729158399 Receives reassigned benefits from 1 practitioner
Practice locations: Parma, OH

National Provider Directory

National Provider Directory

Locations

5252 Broadview Rd
Parma, OH 44134
Phone (216) 741-3854

5500 Ridge Rd
Ste 133
Parma, OH 44129
Phone (440) 882-3200

5515 State Rd
Parma, OH 44134
Phone (216) 741-7770

5850 Ridge Rd
Ste A
Parma, OH 44129
Phone (440) 882-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1699982405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 RIDGE RD",
            "address_2": "SUITE A",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293166",
            "telephone_number": "440-882-3200",
            "fax_number": "440-882-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 RIDGE RD",
            "address_2": "SUITE A",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293166",
            "telephone_number": "440-882-3200",
            "fax_number": "440-882-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL JESKE DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "JESKE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-882-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeske Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.