Individual provider Active NPI

Vivian Giannakakis, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1053653097
Registry record updated Mar 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012171-1 Issued in NY
Practice address
928 Broadway
Suite 600
New York, NY 10010-6008
Phone
(347) 871-3511
NPI assigned
Mar 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012171-1 NY Primary

Addresses

Primary practice location

928 Broadway
Suite 600
New York, NY 10010-6008

Mailing address

928 Broadway
Suite 600
New York, NY 10010-6008
Phone (347) 871-3511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216001487 DE Practitioner - Chiropractic 4486047388 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Wellness of Wilmington, LLCGroup PAC ID 6608041769, 4 clinicians

Practice addresses (Care Compare)

2106 Silverside Rd
Suite 102
Wilmington, DE 19810-4163
Phone (302) 543-5679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012171-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness of Middletown, LLC Chiropractor CurrentSince Feb 24, 2022 Accepting new patients
Pure Wellness, LLC Chiropractor CurrentSince Feb 24, 2022 Accepting new patients
Pure Wellness of Smyrna, LLC Chiropractor CurrentSince Feb 24, 2022 Accepting new patients
Pure Wellness of Wilmington, LLC Chiropractor CurrentSince Feb 14, 2022 Accepting new patients
Pure Wellness of Camden, LLC Chiropractor PastSince Feb 13, 2022 Accepting new patients

Locations

4608 S DuPont Hwy
Ste 3
Dover, DE 19901
Phone (302) 213-6116

708 Ash Blvd
Middletown, DE 19709
Phone (302) 365-6520

77 Milford Neck Rd
Ste 101
Milford, DE 19963
Phone (302) 215-0313

1 Centurian Dr
Ste 104
Newark, DE 19713
Phone (302) 365-6520

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520

2106 Silverside Rd
Ste 102
Wilmington, DE 19810
Phone (302) 478-8099

2106 Silverside Rd
Ste 101
Wilmington, DE 19810

Organizations & group practices 5

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": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363478400000",
    "number": "1053653097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "SUITE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "347-871-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "SUITE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "347-871-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNAKAKIS",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012171-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; 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.