Reg Enterprises LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REG ENTERPRISES LLC

Doing business as

HealthSource of Fairlawn

Practice address

2855 W Market St Ste 201
Fairlawn, OH 44333-4034

Phone

(234) 900-4150

NPI assigned

Oct 17, 2017

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eugene Griesse, DCNPI 1184015117

Title

Owner

Phone

(330) 289-5409

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Fairlawn Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

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.

• Robert Eugene Griesse, D.C.

  • Chiropractor
  • Fairlawn, OH
  • NPI 1184015117
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Logozny, DC

  • Chiropractor
  • Fairlawn, OH
  • NPI 1508676800
  Medicare reassignment Care Compare group NPD
• Victoria Adkins, DC

  • Chiropractor
  • Strongsville, OH
  • NPI 1942074232
  Medicare reassignment NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1992216915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W MARKET ST STE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334034",
            "telephone_number": "234-900-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W MARKET ST STE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334034",
            "telephone_number": "234-900-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REG ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "GRIESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-289-5409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Fairlawn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Michael Rebeck
• Kathrin Rebovich, COTA
• Charmaine Redding
• Ethan Redelberger
• Colleen Britney Alane Redenback, COTA/L
• Rehab Educators
• Rehab Educators, LLC (Occupational Therapists in Private Practice)
• Emily Reljin, CNP
• Rem Jr., Inc.
• Joshua Reynolds

• Chiropractor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.