NPIMap

Organization Active NPI

Haely Chiropractic, Inc.

  • Chiropractor
  • Broadview HTS, OH
National Provider Identifier
1891916797
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OH3160 Issued in OH
Legal business name
HAELY CHIROPRACTIC, INC.
Practice address
7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4009
Phone
(440) 838-5755
Fax
(440) 838-5766
NPI assigned
May 1, 2007
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Ryan M Haely, D.C.NPI 1881697001
Title
President
Phone
(440) 838-5755

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 OH3160 OH Primary

Addresses

Primary practice location

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4009

Mailing address

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4009
Phone (440) 838-5755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000222 OH Part B Supplier - Clinic/Group Practice 5092973610 Receives reassigned benefits from 1 practitioner
Practice locations: North Royalton, OH

National Provider Directory

National Provider Directory

Locations

7500 Town Centre Dr
Ste 300
Broadview Hts, OH 44147
Phone (440) 554-0035

5171 Wallings Rd
Ste 120
North Royalton, OH 44133
Phone (440) 838-5755

Practitioners & affiliated clinicians

Practitioners 11

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1891916797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474009",
            "telephone_number": "440-838-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474009",
            "telephone_number": "440-838-5755",
            "fax_number": "440-838-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAELY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "HAELY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-838-5755",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.