Organization Active NPI

Lorraine Parker DC PLLC

  • Chiropractor
  • Somers, NY
National Provider Identifier
1376080937
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X003379-1 Issued in NY
Legal business name
LORRAINE PARKER DC PLLC
Practice address
361 Route 202
Somers, NY 10589-3246
Phone
(914) 248-5122
Fax
(914) 248-5125
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Lorraine Jill Parker, DCNPI 1427144575
Title
Chiropractor
Phone
(914) 248-5122

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 X003379-1 NY Primary

Addresses

Primary practice location

361 Route 202
Somers, NY 10589-3246

Mailing address

361 Route 202
Somers, NY 10589-3246
Phone (914) 248-5122

Other identifiers 3

IdentifierTypeStateIssuer
P415014OtherNYOXFORD
324333OtherNYUNITED
4323407OtherNYAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206002326 NY Part B Supplier - Clinic/Group Practice 0143503771 Receives reassigned benefits from 1 practitioner
Practice locations: Somers, NY

National Provider Directory

National Provider Directory

Locations

361 Route 202
Somers, NY 10589
Phone (914) 248-5122

Practitioners & affiliated clinicians

Practitioners 1

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": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1376080937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893246",
            "telephone_number": "914-248-5122",
            "fax_number": "914-248-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893246",
            "telephone_number": "914-248-5122",
            "fax_number": "914-248-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE PARKER DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "914-248-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003379-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P415014",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "324333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4323407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.