Organization Active NPI

Holbrook Chiropractic PC

  • Chiropractor
  • Holbrook, NY
National Provider Identifier
1164631875
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006064 Issued in NY
Legal business name
HOLBROOK CHIROPRACTIC PC
Practice address
233 Union Ave
Suite 102
Holbrook, NY 11741-1820
Phone
(631) 981-2222
Fax
(631) 981-2279
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Douglass Mark Glassman, DC
Title
President
Phone
(631) 981-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006064 NY Primary

Addresses

Primary practice location

233 Union Ave
Suite 102
Holbrook, NY 11741-1820

Mailing address

PO Box 129
Suite 102
Holbrook, NY 11741-0129
Phone (631) 981-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1164631875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "SUITE 102",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117410129",
            "telephone_number": "631-981-2222",
            "fax_number": "631-981-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "address_2": "SUITE 102",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "631-981-2222",
            "fax_number": "631-981-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "DOUGLASS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-981-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "006064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.