Alexander Theofylaktos, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05407 Issued in OH

Practice address

4635 Richmond Rd Ste 101
Warrensville Heights, OH 44128-5938

Phone

(216) 459-7998

NPI assigned

Nov 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hunter Chiropractic and Wellness Center Inc

  • Chiropractor
  • Cleveland, OH
  • NPI 1700245073
  Medicare reassignment NPD
• Dr Michael Darr DC

  • Chiropractor
  • Westlake, OH
  • NPI 1518140169
  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1730905688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 RICHMOND RD STE 101",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285938",
            "telephone_number": "216-459-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 RICHMOND RD STE 101",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285938",
            "telephone_number": "216-459-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOFYLAKTOS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• Jamila Thedford
• Mary Alice Thiel, CNP
• Katara Shenee Thomas
• Michelle Nicole Thomas
• Shirley Thomas, MD
• Janice Thompson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.