Individual provider Active NPI

Elan Michael, DC

  • Chiropractor
  • Valhalla, NY
National Provider Identifier
1316457955
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013020 Issued in NY
Practice address
465 Columbus Ave Ste 250
Valhalla, NY 10595-1376
Phone
(914) 292-5510
NPI assigned
Oct 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013020 NY Primary

Addresses

Primary practice location

465 Columbus Ave Ste 250
Valhalla, NY 10595-1376

Mailing address

465 Columbus Ave Ste 250
Valhalla, NY 10595-1376
Phone (914) 292-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025001375 NY Practitioner - Chiropractic 1254729254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

465 Columbus Ave
Suite 250
Valhalla, NY 10595-1376
Phone (516) 343-3203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013020NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elan Michael Chiropractic, P.C. Chiropractor CurrentSince Jan 3, 2023 Accepting new patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Jonathan Michael DCPC Chiropractor Past Accepting new patients

Locations

5 N Greenwich Rd
Armonk, NY 10504
Phone (914) 207-7337

465 Columbus Ave
Ste 250
Valhalla, NY 10595
Phone (516) 343-3203

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1316457955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 250",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-292-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 250",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "914-292-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ELAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.