Abundant Health Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010114-1 Issued in NY

Legal business name

ABUNDANT HEALTH CHIROPRACTIC PC

Practice address

585 Medford Ave Ste 10
Patchogue, NY 11772-1336

Phone

(631) 569-5476

NPI assigned

Feb 23, 2011

Last updated

Feb 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dana Clum, DC

Title

Owner/Chiropractor

Phone

(631) 569-5476

Specialties & licenses 1

Addresses

Locations

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.

• Dana Lorraine Cavell Clum, D.C.

  • Chiropractor
  • Patchogue, NY
  • NPI 1053612655
  NPD (past)

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1376840603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MEDFORD AVE STE 10",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721336",
            "telephone_number": "631-569-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MEDFORD AVE STE 10",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721336",
            "telephone_number": "631-569-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "CLUM",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "631-569-5476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010114-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasir Abbas
• Santina Abbate
• Higer Abdallah, NP
• Eric Abrams
• Omar Nafiz Abu-Jaradeh, MD
• Elizabeth Adams, LMHC
• Richard Anthony Adamski II, M.D.
• Dustin Ariel Adorno
• Jonathan Afanador
• Sohaib Agha, DO

• Chiropractor in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.