Organization Active NPI

Innate Chiropractic PC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1366759797
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011895 Issued in NY
Legal business name
INNATE CHIROPRACTIC PC
Practice address
52 Route 17K
Suite 207
Newburgh, NY 12550-3919
Phone
(845) 565-5410
Fax
(845) 565-5417
NPI assigned
Sep 7, 2010
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Erik Brower, D.C.NPI 1093020307
Title
President
Phone
(845) 594-1722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011895 NY Primary

Addresses

Primary practice location

52 Route 17K
Suite 207
Newburgh, NY 12550-3919

Mailing address

PO Box 7154
Newburgh, NY 12550-0558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000843 NY Part B Supplier - Clinic/Group Practice 6800089913 Receives reassigned benefits from 4 practitioners
Practice locations: Newburgh, NY

National Provider Directory

National Provider Directory

Locations

52 Route 17K
Ste 203
Newburgh, NY 12550
Phone (845) 392-6763

52 Route 17K
Ste 207
Newburgh, NY 12550
Phone (845) 565-5410

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1366759797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7154",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125500558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ROUTE 17K",
            "address_2": "SUITE 207",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503919",
            "telephone_number": "845-565-5410",
            "fax_number": "845-565-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-594-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.