Organization Active NPI

Phelts Chiropractic PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1285035543
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010658 Issued in NY
Legal business name
PHELTS CHIROPRACTIC PC
Practice address
124 E 40TH St
Suite 301
New York, NY 10016-1723
Phone
(212) 286-2012
Fax
(866) 526-3554
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. John Wesly Phelts III, D.C.
Title
Ceo
Phone
(646) 490-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X010658 NY Primary

Addresses

Primary practice location

124 E 40TH St
Suite 301
New York, NY 10016-1723

Mailing address

124 E 40TH St
Suite 301
New York, NY 10016-1723
Phone (212) 286-2012

National Provider Directory

National Provider Directory

Locations

124 E 40th St
Rm 301
New York, NY 10016
Phone (212) 286-2012

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1285035543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 40TH ST",
            "address_2": "SUITE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161723",
            "telephone_number": "212-286-2012",
            "fax_number": "866-526-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 40TH ST",
            "address_2": "SUITE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161723",
            "telephone_number": "212-286-2012",
            "fax_number": "866-526-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELTS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "PHELTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-490-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.