Individual provider Active NPI

Daniel Joseph Lamontagne, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1326098831
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011045 Issued in NY
Practice address
32 Bridge St.
1St Floor/Suite 103
Brooklyn, NY 11201
Phone
(516) 425-5841
Fax
(646) 706-7366
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 011045 NY Primary

Addresses

Primary practice location

32 Bridge St.
1St Floor/Suite 103
Brooklyn, NY 11201

Mailing address

32 Bridge St.
1St Floor Suite 103
Brooklyn, NY 11201
Phone (516) 425-5841

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000240 NY Practitioner - Chiropractic 7719037381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32 Bridge St
Suite 104
Brooklyn, NY 11201-1171
Phone (646) 706-7366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011045NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Life LLC Chiropractor CurrentSince Jul 2, 2023 Accepting new patients

Locations

32 Bridge St
Ste 103
Brooklyn, NY 11201
Phone (646) 706-7366

32 Bridge St
Ste 104
Brooklyn, NY 11201
Phone (646) 706-7366

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1326098831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BRIDGE ST.",
            "address_2": "1ST FLOOR SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "516-425-5841",
            "fax_number": "646-706-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BRIDGE ST.",
            "address_2": "1ST FLOOR/SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "516-425-5841",
            "fax_number": "646-706-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONTAGNE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.