Individual provider Active NPI

Robert Inesta, D.C.

  • Chiropractor
  • Harrison, NY
National Provider Identifier
1154405157
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010924-1 Issued in NY
Practice address
450 Mamaroneck Ave
Suite 409
Harrison, NY 10528-2400
Phone
(914) 771-9355
Fax
(914) 771-5178
NPI assigned
Oct 25, 2006
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010924-1 NY Primary

Addresses

Primary practice location

450 Mamaroneck Ave
Suite 409
Harrison, NY 10528-2400

Mailing address

450 Mamaroneck Ave
Suite 409
Harrison, NY 10528-2400
Phone (914) 771-9355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
010924NYMDMental Health Counselor
X010924-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1154405157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE",
            "address_2": "SUITE 409",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282400",
            "telephone_number": "914-771-9355",
            "fax_number": "914-771-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE",
            "address_2": "SUITE 409",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282400",
            "telephone_number": "914-771-9355",
            "fax_number": "914-771-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INESTA",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010924-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.