Organization Active NPI

I Know My Chiro Chiropractic Wellness PLLC

  • Independent Medical Examiner Chiropractor
  • New York, NY
National Provider Identifier
1396286845
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
X0128491 Issued in NY
Legal business name
I KNOW MY CHIRO CHIROPRACTIC WELLNESS PLLC
Practice address
35 E 38TH St Apt 1B
New York, NY 10016-2528
Phone
(212) 933-0188
Fax
(646) 484-5593
NPI assigned
Mar 16, 2017
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Victor Casanova, DCNPI 1194175331
Title
Chiropractor
Phone
(212) 933-0188

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0128491 NY
Nutrition Chiropractor 111NN1001X X0128491 NY
Independent Medical Examiner Chiropractor 111NI0013X X0128491 NY Primary

Addresses

Primary practice location

35 E 38TH St Apt 1B
New York, NY 10016-2528

Mailing address

352 7TH Ave RM 1002
New York, NY 10001-5657
Phone (212) 933-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170403001333 NY Part B Supplier - Clinic/Group Practice 1557646635 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

35 E 35th St
Rm 1B
New York, NY 10016
Phone (212) 933-0188

35 E 38th St
Apt 1B
New York, NY 10016
Phone (212) 697-3210

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": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1396286845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015657",
            "telephone_number": "212-933-0188",
            "fax_number": "646-484-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 38TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162528",
            "telephone_number": "212-933-0188",
            "fax_number": "646-484-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I KNOW MY CHIRO CHIROPRACTIC WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "212-933-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0128491",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X0128491",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NY",
            "license": "X0128491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.