Individual provider Active NPI

Dmitry Slobodyansky, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1215062377
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Aug 18, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008950 Issued in NY
Practice address
265 Avenue X
Brooklyn, NY 11223-5939
Phone
(718) 339-5151
Fax
(718) 339-3471
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008950 NY Primary

Addresses

Primary practice location

265 Avenue X
Brooklyn, NY 11223-5939

Mailing address

601 Surf Ave
#23F
Brooklyn, NY 11224-3450
Phone (347) 236-5806

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Plus DC, PC Chiropractor Past Accepting new patients
Vital Care Ny OT PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215062377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SURF AVE",
            "address_2": "#23F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243450",
            "telephone_number": "347-236-5806",
            "fax_number": "718-339-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235939",
            "telephone_number": "718-339-5151",
            "fax_number": "718-339-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODYANSKY",
        "first_name": "DMITRY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.