Organization Active NPI

Huntington Chiropractic Health & Wellness,P.C.

  • Chiropractor
  • Huntington, NY
National Provider Identifier
1043426679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009190 Issued in NY
Legal business name
HUNTINGTON CHIROPRACTIC HEALTH & WELLNESS,P.C.
Practice address
199 Oakwood Rd
Huntington, NY 11743-4213
Phone
(631) 425-0500
Fax
(631) 425-3399
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert S Wallace, DC
Title
Owner
Phone
(631) 425-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009190 NY Primary

Addresses

Primary practice location

199 Oakwood Rd
Huntington, NY 11743-4213

Mailing address

199 Oakwood Rd
Huntington, NY 11743-4213
Phone (631) 425-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043426679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434213",
            "telephone_number": "631-425-0500",
            "fax_number": "631-425-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434213",
            "telephone_number": "631-425-0500",
            "fax_number": "631-425-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON CHIROPRACTIC HEALTH & WELLNESS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-425-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.