Islip Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

010865 Issued in NY

Legal business name

ISLIP CHIROPRACTIC PC

Practice address

99 E Main St
Suite 2
East Islip, NY 11730-2538

Phone

(631) 647-8324

Fax

(631) 647-8324

NPI assigned

Nov 5, 2012

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Bowen, D.C.NPI 1649316134

Title

Owner

Phone

(631) 647-8324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Laura Kristine Bowen, D.C.

  • Rehabilitation Chiropractor
  • East Islip, NY
  • NPI 1649316134
  Medicare reassignment Authorized official
• Diana A Dangelo, D.C.

  • Chiropractor
  • East Islip, NY
  • NPI 1346596293
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1114271756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510027",
            "telephone_number": "631-647-8324",
            "fax_number": "631-647-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302538",
            "telephone_number": "631-647-8324",
            "fax_number": "631-647-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLIP CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-647-8324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in East Islip, NY
• Providers in East Islip, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.

Verify at the official NPI Registry.