Active NPI
Thomas Evans Spiridellis, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1083850754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X2752
- Practice address
- 162 W 56TH St
301
New York, NY 10019-3831 - Phone
- (212) 245-5520
- Fax
- (212) 245-5570
- NPI assigned
- Dec 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X2752 | NY | Primary |
Addresses
Primary practice location
162 W 56TH St
301
New York, NY 10019-3831
Mailing address
162 W 56TH St
301
New York, NY 10019-3831
Phone (212) 245-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-3338801 | Other | NY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X2752 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1083850754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 W 56TH ST",
"address_2": "301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193831",
"telephone_number": "212-245-5520",
"fax_number": "212-245-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 W 56TH ST",
"address_2": "301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193831",
"telephone_number": "212-245-5520",
"fax_number": "212-245-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRIDELLIS",
"first_name": "THOMAS",
"middle_name": "EVANS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X2752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "13-3338801",
"state": "NY"
}
],
"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 Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.