New York Chiropractic Health Performance, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012311-1 Issued in NY

Legal business name

NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.

Practice address

54 Miller Rd Ste 4
Mahopac, NY 10541-2223

Phone

(845) 621-1739

Fax

(845) 621-2318

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Innes, D.C.

Title

Owner

Phone

(845) 721-4358

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1295133247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLER RD STE 4",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412223",
            "telephone_number": "845-621-1739",
            "fax_number": "845-621-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER RD STE 4",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412223",
            "telephone_number": "845-621-1739",
            "fax_number": "845-621-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "INNES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-721-4358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012311-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI",
            "identifier": "1992044226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mahopac, NY
• Providers in Mahopac, 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 16, 2019; 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.