Active NPI
Timothy Slominski, D.C.
- Chiropractor
- Katonah, NY
National Provider Identifier
1164584843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005653-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P405322 | Other | NY | OXFORD PIN |
| 7166961 | Other | NY | CIGNA PIN |
| 931845 | Other | NY | ACN GROUP PIN |
| 2700138 | Other | NY | AETNA PIN |
| 71498 | Other | NY | ASHN PIN |
| 5800154 | Other | NY | GHI PIN |
| NY05653 | Other | NY | LANDMARK PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X005653-1 | NY | MD | Chiropractor |
| 000858 | CT | MD | Pediatric Optometrist |
| 005653 | NY | MD | Acupuncturist |
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.