Individual provider Active NPI

Deeb Haider Alawan, DC

  • Chiropractor
  • Strongsville, OH
National Provider Identifier
1710901319
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2711 Issued in OH
Practice address
14399 Pearl Rd
Strongsville, OH 44136-8713
Phone
(440) 846-1200
Fax
(440) 846-1775
NPI assigned
Jul 27, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2711 OH Primary

Addresses

Primary practice location

14399 Pearl Rd
Strongsville, OH 44136-8713

Mailing address

14399 Pearl Rd
Strongsville, OH 44136-8713
Phone (440) 846-1200

Other identifiers 1

IdentifierTypeStateIssuer
9363961OtherOHMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000205 OH Practitioner - Chiropractic 7719984251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14399 Pearl Rd
Strongsville, OH 44136-8713
Phone (440) 846-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2711OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Chiropractic Clinic, LLC Chiropractor CurrentSince Sep 22, 2006 Accepting new patients
Brunswick Chiropractic Clinic Inc Chiropractor Past Accepting new patients

Locations

14399 Pearl Rd
Strongsville, OH 44136
Phone (440) 846-1200

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1710901319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14399 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368713",
            "telephone_number": "440-846-1200",
            "fax_number": "440-846-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14399 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368713",
            "telephone_number": "440-846-1200",
            "fax_number": "440-846-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAWAN",
        "first_name": "DEEB",
        "middle_name": "HAIDER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9363961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.