Modern Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009246 Issued in NY

Legal business name

MODERN CHIROPRACTIC PC

Practice address

3062 Brighton 3Rd St
Brooklyn, NY 11235-7409

Phone

(917) 817-9244

Fax

(718) 743-9680

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Diana Vavikova, D.C.

Title

Owner

Phone

(917) 817-9244

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.

• Armine Michael, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1598718868
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1396750972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357409",
            "telephone_number": "917-817-9244",
            "fax_number": "718-743-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357409",
            "telephone_number": "917-817-9244",
            "fax_number": "718-743-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "VAVIKOVA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-817-9244",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Model Manes Beauty Salon LLC (Model Manes Beauty Salon)
• Lynn Model, MD
• Zachary Model, LMHC
• Modern Chemist LLC (The Modern Chemist)
• Modern Chiropractic Care, P.C.
• Modern Dental PC
• Modern Dentistry
• Modern Dentistry Vas of Brooklyn, PLLC
• Modern Diagnostic Laboratory, Inc
• Modern Eyes Optical 8 Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.