Organization Active NPI

Crompond Chiropractic P C

  • Chiropractor
  • Cortlandt Manor, NY
National Provider Identifier
1174780795
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CROMPOND CHIROPRACTIC P C
Practice address
2117 Crompond Rd
Ste# 11
Cortlandt Manor, NY 10567-4316
Phone
(914) 737-0176
Fax
(914) 737-0383
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mr. Floyd E Miller, D.C.NPI 1891883930
Title
Owner
Phone
(914) 737-0176

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2117 Crompond Rd
Ste# 11
Cortlandt Manor, NY 10567-4316

Mailing address

2117 Crompond Rd
Ste# 11
Cortlandt Manor, NY 10567-4316
Phone (914) 737-0176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000041 NY Part B Supplier - Clinic/Group Practice 9436220936 Receives reassigned benefits from 2 practitioners
Practice locations: Cortlandt Manor, NY

National Provider Directory

National Provider Directory

Locations

2117 Crompond Rd
Ste 11
Cortlandt Mnr, NY 10567
Phone (914) 737-0176

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1174780795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND RD",
            "address_2": "STE# 11",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-737-0176",
            "fax_number": "914-737-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND RD",
            "address_2": "STE# 11",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-737-0176",
            "fax_number": "914-737-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROMPOND CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-737-0176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.