Active NPI
Edward Villalta
- Chiropractor
- Hempstead, NY
National Provider Identifier
1306298419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012840
- Practice address
- 717 Front St
Hempstead, NY 11550-4534 - Phone
- (516) 609-3100
- Fax
- (516) 609-0671
- NPI assigned
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012840 | NY | Primary |
Addresses
Primary practice location
717 Front St
Hempstead, NY 11550-4534
Mailing address
717 Front St
Hempstead, NY 11550-4534
Phone (516) 609-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012840 | Other | NY | LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012840 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1306298419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 FRONT ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504534",
"telephone_number": "516-609-3100",
"fax_number": "516-609-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 FRONT ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504534",
"telephone_number": "516-609-3100",
"fax_number": "516-609-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALTA",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "012840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.