Afbdc Willoughby Hills Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1891 Issued in OH

Legal business name

AFBDC WILLOUGHBY HILLS FAMILY CHIROPRACTIC

Practice address

2830 Bishop Rd
Suite E
Wickliffe, OH 44092-2681

Phone

(440) 585-9371

Fax

(440) 585-9384

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Frank Berardino, D.C.NPI 1194752113

Title

President

Phone

(440) 585-9371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Frank Berardino, D.C.

  • Chiropractor
  • Wadsworth, OH
  • NPI 1194752113
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1801800800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 BISHOP RD",
            "address_2": "SUITE E",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922681",
            "telephone_number": "440-585-9371",
            "fax_number": "440-585-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BISHOP RD",
            "address_2": "SUITE E",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922681",
            "telephone_number": "440-585-9371",
            "fax_number": "440-585-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFBDC WILLOUGHBY HILLS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BERARDINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-585-9371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.