Organization Active NPI

Decarlo Chiropractic,PC

  • Chiropractor
  • New City, NY
National Provider Identifier
1437228327
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0105961 Issued in NY
Legal business name
DECARLO CHIROPRACTIC,PC
Practice address
29 Third St
New City, NY 10956-4929
Phone
(845) 708-8885
Fax
(845) 708-8884
NPI assigned
Nov 7, 2006
Last updated
Oct 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Christopher Decarlo, DCNPI 1114096096
Title
Chiropractor
Phone
(845) 708-8885

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
Chiropractor 111N00000X X0105961 NY Primary

Addresses

Primary practice location

29 Third St
New City, NY 10956-4929

Mailing address

29 Third St
New City, NY 10956-4929
Phone (845) 708-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000110 NY Part B Supplier - Clinic/Group Practice 6204731912 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

29 Third St
New City, NY 10956
Phone (845) 708-8885

29 Third St
Ste B
New City, NY 10956
Phone (845) 708-8885

8 Second St
New City, NY 10956
Phone (845) 708-8885

Practitioners & affiliated clinicians

Practitioners 3

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1437228327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 THIRD ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564929",
            "telephone_number": "845-708-8885",
            "fax_number": "845-708-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 THIRD ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564929",
            "telephone_number": "845-708-8885",
            "fax_number": "845-708-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARLO CHIROPRACTIC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "845-708-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0105961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.