Individual provider Active NPI

Joseph Carranza, DC

  • Chiropractor
  • Rockville Centre, NY
National Provider Identifier
1225536899
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013061 Issued in NY
Practice address
100 Banks Ave Apt 1323
Rockville Centre, NY 11570-6212
Phone
(516) 672-8297
NPI assigned
Jan 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013061 NY Primary

Addresses

Primary practice location

100 Banks Ave Apt 1323
Rockville Centre, NY 11570-6212

Mailing address

100 Banks Ave Apt 1323
Rockville Centre, NY 11570-6212
Phone (516) 672-8297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420000093 NY Practitioner - Chiropractic 3779846084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Banks Ave
Apt 1323
Rockville Centre, NY 11570-6212
Phone (516) 672-8297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013061NYMDClinical Psychologist
X013061NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carranza Chiropractic PC Chiropractor CurrentSince Jun 2, 2020 Accepting new patients

Locations

1399 Franklin Ave
Ste 103
Garden City, NY 11530
Phone (516) 481-8877

Organizations & group practices 1

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1225536899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BANKS AVE APT 1323",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706212",
            "telephone_number": "516-672-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BANKS AVE APT 1323",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706212",
            "telephone_number": "516-672-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.