Individual provider Active NPI

Eric Valins

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1114014545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007906-1 Issued in NY
Practice address
1 Edgewood Ave
Smithtown, NY 11787-2742
Phone
(631) 979-8508
Fax
(631) 979-0998
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007906-1 NY Primary

Addresses

Primary practice location

1 Edgewood Ave
Smithtown, NY 11787-2742

Mailing address

1 Edgewood Ave
Smithtown, NY 11787-2742
Phone (631) 979-8508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227001711 NY Practitioner - Chiropractic 6305014564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Health Center of SmithtownGroup PAC ID 1153599303, 2 clinicians

Practice addresses (Care Compare)

1 Edgewood Ave
Smithtown, NY 11787-2742
Phone (631) 979-8508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007906-1NYMDChiropractor
007906NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center of Smithtown Chiropractor CurrentSince Oct 23, 2017 Accepting new patients

Locations

1 Edgewood Ave
#C
Smithtown, NY 11787
Phone (631) 278-7122

1 Edgewood Ave
Ste 100
Smithtown, NY 11787
Phone (631) 979-8508

1 Edgewood Ave
Smithtown, NY 11787
Phone (631) 543-4140

Organizations & group practices 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114014545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALINS",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.