Individual provider Active NPI

Timothy Slominski, D.C.

  • Chiropractor
  • Katonah, NY
National Provider Identifier
1164584843
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005653-1 Issued in NY
Practice address
40 Bedford Rd
Katonah, NY 10536-2119
Phone
(914) 232-4200
Fax
(914) 232-7192
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005653-1 NY Primary
Chiropractor 111N00000X 000858 CT

Addresses

Primary practice location

40 Bedford Rd
Katonah, NY 10536-2119

Mailing address

40 Bedford Rd
Katonah, NY 10536-2119
Phone (914) 232-4200

Other identifiers 7

IdentifierTypeStateIssuer
P405322OtherNYOXFORD PIN
7166961OtherNYCIGNA PIN
931845OtherNYACN GROUP PIN
2700138OtherNYAETNA PIN
71498OtherNYASHN PIN
5800154OtherNYGHI PIN
NY05653OtherNYLANDMARK PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000322 NY Practitioner - Chiropractic 0749455525 Practice locations: Katonah, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Bedford Rd
Katonah, NY 10536-2119
Phone (914) 232-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005653-1NYMDChiropractor
000858CTMDPediatric Optometrist
005653NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1164584843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEDFORD RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362119",
            "telephone_number": "914-232-4200",
            "fax_number": "914-232-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEDFORD RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362119",
            "telephone_number": "914-232-4200",
            "fax_number": "914-232-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMINSKI",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005653-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P405322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "7166961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP PIN",
            "identifier": "931845",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2700138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN PIN",
            "identifier": "71498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN",
            "identifier": "5800154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK PIN",
            "identifier": "NY05653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.