Active NPI
Kevin Doherty
- Neurology Chiropractor
- Hartsdale, NY
National Provider Identifier
1174796098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 010340
- Practice address
- 141 S Central Ave
Suite 305
Hartsdale, NY 10530-2319 - Phone
- (914) 428-8004
- NPI assigned
- Apr 11, 2008
- Last updated
- Apr 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 010340 | NY | Primary |
Addresses
Primary practice location
141 S Central Ave
Suite 305
Hartsdale, NY 10530-2319
Mailing address
141 S Central Ave
Suite 305
Hartsdale, NY 10530-2319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1174796098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 S CENTRAL AVE",
"address_2": "SUITE 305",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105302319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S CENTRAL AVE",
"address_2": "SUITE 305",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105302319",
"telephone_number": "914-428-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "010340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.