Organization Active NPI

Olympus Chiropractic, PC

  • Chiropractor
  • Forest Hills, NY
National Provider Identifier
1437228640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008765 Issued in NY
Legal business name
OLYMPUS CHIROPRACTIC, PC
Practice address
7050 Austin St
Suite 108
Forest Hills, NY 11375-4737
Phone
(718) 374-2222
Fax
(718) 374-1113
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Charles Kesselman, DCNPI 1215926803
Title
President
Phone
(718) 374-2222

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 X008765 NY Primary

Addresses

Primary practice location

7050 Austin St
Suite 108
Forest Hills, NY 11375-4737

Mailing address

7050 Austin St
Suite 108
Forest Hills, NY 11375-4737
Phone (718) 374-2222

National Provider Directory

National Provider Directory

Locations

7050 Austin St
Ste 108
Forest Hills, NY 11375
Phone (347) 449-0165

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437228640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 AUSTIN ST",
            "address_2": "SUITE 108",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754737",
            "telephone_number": "718-374-2222",
            "fax_number": "718-374-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AUSTIN ST",
            "address_2": "SUITE 108",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754737",
            "telephone_number": "718-374-2222",
            "fax_number": "718-374-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-374-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.