Active NPI
Rockaway Complete Chiropractic PC
- Chiropractor
- Ozone Park, NY
National Provider Identifier
1417292301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011466
- Legal business name
- ROCKAWAY COMPLETE CHIROPRACTIC PC
- Practice address
- 9205 Rockaway Blvd
Ozone Park, NY 11417-2428 - Phone
- (347) 475-0078
- Fax
- (347) 480-5559
- NPI assigned
- Dec 3, 2012
- Last updated
- Dec 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Michael Higuera, DC
- Title
- President
- Phone
- (347) 475-0078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011466 | NY | Primary |
Addresses
Primary practice location
9205 Rockaway Blvd
Ozone Park, NY 11417-2428
Mailing address
12 Northcote Cres
Westbury, NY 11590-1502
Phone (347) 475-0078
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Ozone Park, NY
- NPI 1881843746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1417292301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 NORTHCOTE CRES",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901502",
"telephone_number": "347-475-0078",
"fax_number": "347-480-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 ROCKAWAY BLVD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114172428",
"telephone_number": "347-475-0078",
"fax_number": "347-480-5559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKAWAY COMPLETE CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "HIGUERA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-475-0078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "011466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.