Individual provider Active NPI

Robert Brown, DC

  • Chiropractor
  • Lansing, NY
National Provider Identifier
1164500195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X03261 Issued in NY
Practice address
15 Auburn Rd
Lansing, NY 14882-9093
Phone
(607) 533-4231
Fax
(607) 533-4232
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X03261 NY Primary

Addresses

Primary practice location

15 Auburn Rd
Lansing, NY 14882-9093

Mailing address

15 Auburn Rd
Lansing, NY 14882-9093
Phone (607) 533-4231

Other identifiers 2

IdentifierTypeStateIssuer
C032617OtherNYWORKERS COMPENSATION
14067OtherNYEXCELLUS BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000857 NY Practitioner - Chiropractic 3971699331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Auburn Rd
Lansing, NY 14882-9093
Phone (607) 533-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X03261NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Chiropractic Office, PC Chiropractor CurrentSince Jun 25, 1993 Accepting new patients
Sleep Focused Solutions, Inc. PastSince Nov 18, 1993 Accepting new patients

Locations

15 Auburn Rd
Lansing, NY 14882
Phone (607) 351-2761

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164500195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148829093",
            "telephone_number": "607-533-4231",
            "fax_number": "607-533-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148829093",
            "telephone_number": "607-533-4231",
            "fax_number": "607-533-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X03261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C032617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS",
            "identifier": "14067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.