Organization Active NPI

Corona Family Chiropractic Care, PC

  • Chiropractor
  • Corona, NY
National Provider Identifier
1285836981
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008858 Issued in NY
Legal business name
CORONA FAMILY CHIROPRACTIC CARE, PC
Practice address
4109 108TH St
Suite LL
Corona, NY 11368-2355
Phone
(718) 205-2245
NPI assigned
Jun 4, 2007
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Glenn Howard Whitney, D.C.
Title
President
Phone
(718) 205-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008858 NY Primary

Addresses

Primary practice location

4109 108TH St
Suite LL
Corona, NY 11368-2355

Mailing address

4109 108TH St
Suite LL
Corona, NY 11368-2355
Phone (718) 205-2245

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1285836981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 108TH ST",
            "address_2": "SUITE LL",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682355",
            "telephone_number": "718-205-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 108TH ST",
            "address_2": "SUITE LL",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682355",
            "telephone_number": "718-205-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA FAMILY CHIROPRACTIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.