Individual provider Active NPI

Gregory T Prybylski, D.C.

  • Chiropractor
  • Shaker Heights, OH
National Provider Identifier
1801197306
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4127 Issued in OH
Practice address
3461 Warrensville Center Rd
Suite 306
Shaker Heights, OH 44122-5260
Phone
(216) 751-8988
NPI assigned
Nov 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4127 OH Primary

Addresses

Primary practice location

3461 Warrensville Center Rd
Suite 306
Shaker Heights, OH 44122-5260

Mailing address

25941 Euclid Ave
Apt 213
Euclid, OH 44132-2723
Phone (216) 261-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000234 OH Practitioner - Chiropractic 8820279391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paramount ChiropracticGroup PAC ID 4880022029, 2 clinicians

Practice addresses (Care Compare)

23850 Ctr Ridge Rd
Suite 5
Westlake, OH 44145-4218
Phone (440) 385-7726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Chiropractic Chiropractor CurrentSince Jan 7, 2020 Accepting new patients
Chagrin Warren Chiropractic and Rehabilitation Center, LLC Chiropractor Past Accepting new patients

Locations

1610 Mentor Ave
Ste 2
Painesville, OH 44077
Phone (440) 352-6132

23760 Center Ridge Rd
Westlake, OH 44145
Phone (440) 385-7726

23850 Center Ridge Rd
Ste 5
Westlake, OH 44145

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1801197306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25941 EUCLID AVE",
            "address_2": "APT 213",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322723",
            "telephone_number": "216-261-3330",
            "fax_number": "216-261-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 306",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225260",
            "telephone_number": "216-751-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYBYLSKI",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.