Individual provider Active NPI

Dana Weissman Timmins, D.C.

  • Chiropractor
  • Bellmore, NY
National Provider Identifier
1366686396
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010656-1 Issued in NY
Practice address
110 Bedford Ave
Bellmore, NY 11710-3527
Phone
(516) 809-9191
Fax
(516) 809-9192
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010656-1 NY Primary

Addresses

Primary practice location

110 Bedford Ave
Bellmore, NY 11710-3527

Mailing address

110 Bedford Ave
Bellmore, NY 11710-3527
Phone (516) 809-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000575 NY Practitioner - Chiropractic 4587848171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Bedford Ave
Bellmore, NY 11710-3527
Phone (516) 809-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010656-1NYMDChiropractor
010656NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellmore Village Chiropractic Wellness PC Chiropractor CurrentSince Jan 24, 2011 Accepting new patients

Locations

110 Bedford Ave
Bellmore, NY 11710
Phone (516) 399-0038

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1366686396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103527",
            "telephone_number": "516-809-9191",
            "fax_number": "516-809-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103527",
            "telephone_number": "516-809-9191",
            "fax_number": "516-809-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMINS",
        "first_name": "DANA",
        "middle_name": "WEISSMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.