Organization Active NPI

True Chiropractic PLLC

Doing business as True Sport Care

  • Sports Physician Chiropractor
  • Nesconset, NY
National Provider Identifier
1164475695
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
TRUE CHIROPRACTIC PLLC
Doing business as
True Sport Care
Practice address
62 Lake Ave S
Suite C
Nesconset, NY 11767-1094
Phone
(631) 584-8783
Fax
(631) 584-8784
NPI assigned
May 18, 2006
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Marc S. Taczanowski, D.C.NPI 1326093857
Title
Ceo
Phone
(631) 584-8783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

62 Lake Ave S
Suite C
Nesconset, NY 11767-1094

Mailing address

62 Lake Ave S
Suite C
Nesconset, NY 11767-1094
Phone (631) 584-8783

Other names 1

  • True Sport Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140917000551 NY Part B Supplier - Clinic/Group Practice 9234358607 Receives reassigned benefits from 1 practitioner
Practice locations: Nesconset, NY

National Provider Directory

National Provider Directory

Locations

62 Lake Ave S
Ste C
Nesconset, NY 11767
Phone (347) 280-6548

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1164475695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 LAKE AVE S",
            "address_2": "SUITE C",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671094",
            "telephone_number": "631-584-8783",
            "fax_number": "631-584-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 LAKE AVE S",
            "address_2": "SUITE C",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671094",
            "telephone_number": "631-584-8783",
            "fax_number": "631-584-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "TACZANOWSKI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-584-8783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Sport Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.