Active NPI
Ken Eagle, D.C. BCN
- Chiropractor
- Old Bethpage, NY
National Provider Identifier
1154435519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008036-1
- Practice address
- 3 Swan CT
Old Bethpage, NY 11804-1307 - Phone
- (516) 381-9055
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | X008036-1 | NY | Primary |
Addresses
Primary practice location
3 Swan CT
Old Bethpage, NY 11804-1307
Mailing address
PO Box 58
Old Bethpage, NY 11804-0058
Phone (516) 381-9055
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
| License | State | Type | Specialty |
|---|---|---|---|
| X008036-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1154435519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "OLD BETHPAGE",
"state": "NY",
"postal_code": "118040058",
"telephone_number": "516-381-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SWAN CT",
"city": "OLD BETHPAGE",
"state": "NY",
"postal_code": "118041307",
"telephone_number": "516-381-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLE",
"first_name": "KEN",
"name_prefix": "Dr.",
"credential": "D.C. BCN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008036-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.