Organization Active NPI

Chagrin Chiropractic Inc.

  • Chiropractor
  • Beachwood, OH
National Provider Identifier
1851572663
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 1135 Issued in OH
Legal business name
CHAGRIN CHIROPRACTIC INC.
Practice address
27629 Chagrin Blvd
Suite 103
Beachwood, OH 44122-4477
Phone
(216) 595-9999
Fax
(216) 595-0235
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Ms. Lori Christian, D.C.NPI 1720129786
Title
Chiropractic Physician
Phone
(216) 595-9999

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 DC 1135 OH Primary

Addresses

Primary practice location

27629 Chagrin Blvd
Suite 103
Beachwood, OH 44122-4477

Mailing address

27629 Chagrin Blvd
Suite 103
Beachwood, OH 44122-4477
Phone (216) 595-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701001690 OH Part B Supplier - Clinic/Group Practice 2264419761 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

27629 Chagrin Blvd
Ste 103
Woodmere, OH 44122
Phone (216) 595-9999

Practitioners & affiliated clinicians

Practitioners 1

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": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1851572663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27629 CHAGRIN BLVD",
            "address_2": "SUITE 103",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224477",
            "telephone_number": "216-595-9999",
            "fax_number": "216-595-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27629 CHAGRIN BLVD",
            "address_2": "SUITE 103",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224477",
            "telephone_number": "216-595-9999",
            "fax_number": "216-595-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "216-595-9999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC 1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.