Core Life Chiropractic Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORE LIFE CHIROPRACTIC CORP.

Practice address

20140 Van Aken Blvd
Shaker Heights, OH 44122-3622

Phone

(216) 675-1710

Fax

(216) 675-1872

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pooja Patel, DCNPI 1033590385

Title

Doctor

Phone

(850) 234-0355

Specialties & licenses 1

Addresses

Locations

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.

• Pooja Patel, DC

  • Chiropractor
  • Shaker Heights, OH
  • NPI 1033590385
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1710713425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20140 VAN AKEN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223622",
            "telephone_number": "216-675-1710",
            "fax_number": "216-675-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20140 VAN AKEN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223622",
            "telephone_number": "216-675-1710",
            "fax_number": "216-675-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE LIFE CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-234-0355",
        "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": []
}

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• Chiropractor in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.