Organization Active NPI

Basic Med LLC

  • Rehabilitation Chiropractor
  • Cuyahoga Falls, OH
National Provider Identifier
1740900026
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
BASIC MED LLC
Practice address
275 Graham Rd Ste 9
Cuyahoga Falls, OH 44223-2259
Phone
(330) 945-5555
NPI assigned
Aug 29, 2022
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Byron JacksonNPI 1205133030
Title
President
Phone
(330) 945-5555

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
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

275 Graham Rd Ste 9
Cuyahoga Falls, OH 44223-2259

Mailing address

275 Graham Rd Ste 9
Cuyahoga Falls, OH 44223-2259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230119002397 OH Part B Supplier - Clinic/Group Practice 8123499605 Receives reassigned benefits from 2 practitioners
Practice locations: Cuyahoga Falls, OH

National Provider Directory

National Provider Directory

Locations

275 Graham Rd
Ste 9
Cuyahoga Fls, OH 44223
Phone (330) 945-5555

Practitioners & affiliated clinicians

Practitioners 5

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": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1740900026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD STE 9",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD STE 9",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-945-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-945-5555"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

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