Individual provider Active NPI

Gail Stevens, DC

  • Chiropractor
  • Mineola, NY
National Provider Identifier
1003999632
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0076691 Issued in NY
Practice address
166 E Jericho Tpke
Mineola, NY 11501-2097
Phone
(516) 294-1100
Fax
(516) 294-2734
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0076691 NY Primary

Addresses

Primary practice location

166 E Jericho Tpke
Mineola, NY 11501-2097

Mailing address

166 E Jericho Tpke
Ste 10
Mineola, NY 11501-2098
Phone (516) 294-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000294 NY Practitioner - Chiropractic 1951574326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Jericho Tpke
Suite 105
Mineola, NY 11501-2937
Phone (516) 294-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0076691NYMDChiropractor
007669NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Care of Mineola PC Chiropractor CurrentSince May 30, 1998 Accepting new patients
Ronald a Stevens MD, PC PastSince Oct 15, 2009 Accepting new patients

Locations

166 E Jericho Tpke
Mineola, NY 11501
Phone (516) 294-1100

22 Jericho Tpke
Ste 105
Mineola, NY 11501
Phone (516) 294-1100

166 E Jericho Tpke
Ste 10
Mineola, NY 11501
Phone (516) 294-1100

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1003999632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E JERICHO TPKE",
            "address_2": "STE 10",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012098",
            "telephone_number": "516-294-1100",
            "fax_number": "516-294-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012097",
            "telephone_number": "516-294-1100",
            "fax_number": "516-294-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0076691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.