Organization Active NPI

Inspired Chiropractic & Wellness Inc

  • Chiropractor
  • Lakewood, OH
National Provider Identifier
1730677485
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4698 Issued in OH
Legal business name
INSPIRED CHIROPRACTIC & WELLNESS INC
Practice address
15644 Madison Ave Ste 213
Lakewood, OH 44107-5622
Phone
(216) 801-4322
NPI assigned
Apr 27, 2018
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Sara Perry, D.C.NPI 1215311931
Title
Owner
Phone
(937) 206-9107

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4698 OH Primary

Addresses

Primary practice location

15644 Madison Ave Ste 213
Lakewood, OH 44107-5622

Mailing address

2026 Halstead Ave
Lakewood, OH 44107-6209
Phone (937) 206-9107

Other practice location 1

2026 Halstead Ave
Lakewood, OH 44107-6209
Phone (937) 206-9107

Other identifiers 1

IdentifierTypeStateIssuer
0224107MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180607001376 OH Part B Supplier - Clinic/Group Practice 0941565287 Receives reassigned benefits from 3 practitioners
Practice locations: Lakewood, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1730677485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 HALSTEAD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076209",
            "telephone_number": "937-206-9107",
            "fax_number": "330-319-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE STE 213",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "216-801-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 Halstead Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441076209",
            "country_code": "US",
            "telephone_number": "937-206-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRED CHIROPRACTIC & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-206-9107",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.