Richard A Mabanta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005115 Issued in NY

Practice address

70 Main St
Huntington, NY 11743-6966

Phone

(631) 427-5777

Fax

(631) 427-5888

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1447378120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436966",
            "telephone_number": "631-427-5777",
            "fax_number": "631-427-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436966",
            "telephone_number": "631-427-5777",
            "fax_number": "631-427-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABANTA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "005115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn O'Connor Physician P.C.
• Joseph Lynn, DO
• M. Shareef Neurology, PC
• M.Shareeff.Neurology,P.C.
• Leonard Tae Hoon Ma
• Paul C Maccaro, MD
• Julia Mardell Macchiaroli, NP
• June Ann Macdonald, P.T.
• Anna Ashton Mackay, FNP
• Carrie Mackenzie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.