Active NPI
Bellport Chiropractic, P.C.
- Chiropractor
- Bellport, NY
National Provider Identifier
1093966327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008989
- Legal business name
- BELLPORT CHIROPRACTIC, P.C.
- Practice address
- 112 S Country Rd
Suite 103
Bellport, NY 11713-2534 - Phone
- (631) 286-9410
- Fax
- (631) 286-6491
- NPI assigned
- Oct 6, 2008
- Last updated
- Sep 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael John Stuto, D.C.
- Title
- Chiropractor/ President
- Phone
- (631) 286-9410
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008989 | NY | Primary |
Addresses
Primary practice location
112 S Country Rd
Suite 103
Bellport, NY 11713-2534
Mailing address
112 S Country Rd
Suite 103
Bellport, NY 11713-2534
Phone (631) 286-9410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 S Country Rd
Ste 103
Bellport, NY 11713
Phone (631) 286-9410
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Bellport, NY
- NPI 1194721779
-
- Chiropractor
- Massapequa, NY
- NPI 1730106246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252886400000",
"number": "1093966327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S COUNTRY RD",
"address_2": "SUITE 103",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132534",
"telephone_number": "631-286-9410",
"fax_number": "631-286-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S COUNTRY RD",
"address_2": "SUITE 103",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132534",
"telephone_number": "631-286-9410",
"fax_number": "631-286-6491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLPORT CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2009-09-14",
"status": "A",
"authorized_official_last_name": "STUTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CHIROPRACTOR/ PRESIDENT",
"authorized_official_telephone_number": "631-286-9410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.