Ethan Harrod, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013418 Issued in NY

Practice address

319 Broadway
Menands, NY 12204-2878

Phone

(518) 472-9130

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Peak Performance Chiropractic, LLC

  • Clinic/Center
  • Menands, NY
  • NPI 1881745362
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1265022719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042878",
            "telephone_number": "518-472-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROD",
        "first_name": "ETHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patick Galli, CASAC
• Kiki Garg, L.M.H.C.
• Laurie Hamblin, CASAC
• Mark Harding, M.D.
• Tamika Ayisha Harrison, RN
• Dennis Howard, MD
• Maleka Hussain, MD
• Cheraba Just
• Daryl Lynn Kane, 302969
• Simkeon Andrew Kang, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.