Active NPI
Richard Kowal, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1114086493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X3482
- Practice address
- 23 W 73Rd St
Suite GD
New York, NY 10023-3104 - Phone
- (212) 799-2520
- NPI assigned
- Dec 6, 2006
- 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 | X3482 | NY | Primary |
Addresses
Primary practice location
23 W 73Rd St
Suite GD
New York, NY 10023-3104
Mailing address
23 W 73Rd St
Suite GD
New York, NY 10023-3104
Phone (212) 799-2520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000510 | NY | Practitioner - Chiropractic | 8628245735 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X3482 | NY | MD | Chiropractor |
| 003482 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1114086493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W 73RD ST",
"address_2": "SUITE GD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233104",
"telephone_number": "212-799-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W 73RD ST",
"address_2": "SUITE GD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233104",
"telephone_number": "212-799-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWAL",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X3482",
"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 Nov 28, 2011; 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.