NPIMap

Organization Active NPI

Pleasant Valley Chiropractic Clinic, Inc.

  • Chiropractor
  • Cleveland, OH
National Provider Identifier
1952514754
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1815 Issued in OH
Legal business name
PLEASANT VALLEY CHIROPRACTIC CLINIC, INC.
Doing business as
Pleasant Valley Chiropractic Clinic, Inc.
Practice address
7664 Broadview Rd
Cleveland, OH 44134-6746
Phone
(216) 520-6880
Fax
(216) 520-6885
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Otto J. Schmidt, D.C.NPI 1952407702
Title
Chiropractor
Phone
(216) 520-6880

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 1815 OH Primary

Addresses

Primary practice location

7664 Broadview Rd
Cleveland, OH 44134-6746

Mailing address

7664 Broadview Rd
Cleveland, OH 44134-6746
Phone (216) 520-6880

Other names 1

  • Pleasant Valley Chiropractic Clinic, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000003 OH Part B Supplier - Clinic/Group Practice 4183665094 Receives reassigned benefits from 1 practitioner
Practice locations: Parma, OH

National Provider Directory

National Provider Directory

Locations

7664 Broadview Rd
Parma, OH 44134
Phone (216) 520-6880

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1952514754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "216-520-6880",
            "fax_number": "216-520-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441346746",
            "telephone_number": "216-520-6880",
            "fax_number": "216-520-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "216-520-6880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Chiropractic Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.