NPIMap

Organization Active NPI

5-Star Chiropractic Services, PC

  • Chiropractor
  • Bedford, NY
National Provider Identifier
1295075505
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9236 Issued in NY
Legal business name
5-STAR CHIROPRACTIC SERVICES, PC
Practice address
56 Quarry LN
Bedford, NY 10506-1539
Phone
(914) 646-6893
NPI assigned
Feb 22, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Allan Wattenmaker, DCNPI 1124059357
Title
Pres/Owner
Phone
(914) 646-6893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9236 NY Primary

Addresses

Primary practice location

56 Quarry LN
Bedford, NY 10506-1539

Mailing address

56 Quarry LN
Bedford, NY 10506-1539

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1295075505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 QUARRY LN",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 QUARRY LN",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061539",
            "telephone_number": "914-646-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5-STAR CHIROPRACTIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "WATTENMAKER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "914-646-6893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "9236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.