Ocean Avenue Chiropractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X-009025 Issued in NY

Legal business name

OCEAN AVENUE CHIROPRACTIC P.C

Practice address

700 Union Pkwy Ste 3
Ronkonkoma, NY 11779-7427

Phone

(631) 737-4676

Fax

(631) 737-1261

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Smith, D.CNPI 1124143623

Title

President

Phone

(631) 737-4676

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael William Smith, D.C

  • Chiropractor
  • Ronkonkoma, NY
  • NPI 1124143623
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225155948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNION PKWY STE 3",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797427",
            "telephone_number": "631-737-4676",
            "fax_number": "631-737-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNION PKWY STE 3",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797427",
            "telephone_number": "631-737-4676",
            "fax_number": "631-737-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN AVENUE CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-737-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-009025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.