Brooklyn Spine Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0029681 Issued in NY

Legal business name

BROOKLYN SPINE CHIROPRACTIC PC

Practice address

5911 16TH Ave
Brooklyn, NY 11204-2114

Phone

(718) 234-6200

Fax

(718) 234-6210

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Melinda Keller, DCNPI 1972550887

Title

Owner

Phone

(718) 234-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Melinda C Keller, DC

  • Chiropractor
  • Brooklyn, NY
  • NPI 1972550887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1245550177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-234-6200",
            "fax_number": "718-234-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042114",
            "telephone_number": "718-234-6200",
            "fax_number": "718-234-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN SPINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-234-6200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0029681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Somatic Therapy LCSW PC
• Brooklyn Speech & Swallow PLLC
• Brooklyn Spine and Joint Chiropractic Physical Therapy Rehab and Acupu
• Brooklyn Spine and Joint Chiropractic, PT Rehab and Acupuncture PLLC
• Brooklyn Spine Associates,Inc.
• Brooklyn Star Pharmacy Inc. (Lutheran Pharmacy)
• Brooklyn Surgical Group P.C.
• Brooklyn Surgical PLLC
• Brooklyn Surgicare LLC
• Brooklyn Surgipro Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.