Individual provider Active NPI

Wenning Zhao, DC R ACUPUNCTURIST

  • Chiropractor
  • Maple Heights, OH
National Provider Identifier
1881768315
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2082 Issued in OH
Practice address
15751 Broadway Ave
Maple Town Shopping Center
Maple Heights, OH 44137
Phone
(216) 581-0321
Fax
(216) 332-0386
NPI assigned
Nov 17, 2006
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2082 OH Primary
Acupuncturist 171100000X 65000035 OH

Addresses

Primary practice location

15751 Broadway Ave
Maple Town Shopping Center
Maple Heights, OH 44137

Mailing address

15751 Broadway Ave
Maple Town Shopping Center
Maple Heights, OH 44137
Phone (216) 581-0321

Other identifiers 3

IdentifierTypeStateIssuer
000000319116OtherANTHEM BLUE CROSS
61715OtherOHQUAL CHOICE
0975619MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000369 OH Practitioner - Chiropractic 4981595295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15751 Broadway Ave
Maple Heights, OH 44137-2516
Phone (216) 581-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2082OHMDChiropractor
65000035OHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Able Chiropractic & Alternative Health Care Inc Chiropractor CurrentSince Jan 2, 2002 Accepting new patients

Locations

15751 Broadway Ave
Maple Heights, OH 44137
Phone (216) 581-0321

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1881768315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 BROADWAY AVE",
            "address_2": "MAPLE TOWN SHOPPING CENTER",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "44137",
            "telephone_number": "216-581-0321",
            "fax_number": "216-332-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 BROADWAY AVE",
            "address_2": "MAPLE TOWN SHOPPING CENTER",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "44137",
            "telephone_number": "216-581-0321",
            "fax_number": "216-332-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "WENNING",
        "name_prefix": "Mr.",
        "credential": "DC R ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2082",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65000035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000319116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "61715",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.