Individual provider Active NPI

Keith Michael Hassinger, CHIROPRACTOR

  • Chiropractor
  • North Royalton, OH
National Provider Identifier
1871726646
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4017 Issued in OH
Practice address
12798 Royalton Rd
North Royalton, OH 44133-4229
Phone
(440) 877-9355
Fax
(440) 877-9484
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4017 OH Primary

Addresses

Primary practice location

12798 Royalton Rd
North Royalton, OH 44133-4229

Mailing address

12798 Royalton Rd
North Royalton, OH 44133-4229
Phone (440) 877-9355

Other practice location 1

5275 Broadview Rd
Parma, OH 44134-1627
Phone (216) 661-6556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000233 OH Practitioner - Chiropractic 2163569443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12798 Royalton Rd
North Royalton, OH 44133-4229
Phone (440) 877-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K. Hassinger, D.C., Inc. Chiropractor CurrentSince Aug 27, 2009 Accepting new patients
Life Chiropractic North Royalton LLC Chiropractor CurrentSince Aug 1, 2014 Accepting new patients

Locations

12798 Royalton Rd
North Royalton, OH 44133
Phone (440) 877-9355

5275 Broadview Rd
Parma, OH 44134
Phone (216) 661-6556

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1871726646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12798 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334229",
            "telephone_number": "440-877-9355",
            "fax_number": "440-877-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12798 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334229",
            "telephone_number": "440-877-9355",
            "fax_number": "440-877-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 Broadview Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441341627",
            "country_code": "US",
            "telephone_number": "216-661-6556",
            "fax_number": "216-661-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSINGER",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; 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.