Individual provider Active NPI

Charles Christopher Diggett, D.C.

  • Chiropractor
  • Riverhead, NY
National Provider Identifier
1477530467
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006819 Issued in NY
Practice address
189 Main Rd Ste a
Riverhead, NY 11901-1957
Phone
(631) 369-4323
Fax
(631) 369-4325
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006819 NY Primary

Addresses

Primary practice location

189 Main Rd Ste a
Riverhead, NY 11901-1957

Mailing address

189 Main Rd Ste a
Riverhead, NY 11901-1957
Phone (631) 369-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006819NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Nazar D.C., P.C. Chiropractor CurrentSince Nov 18, 2023 Accepting new patients
Aries Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

189 Main Rd
Ste A
Riverhead, NY 11901
Phone (631) 369-4323

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1477530467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN RD STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN RD STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGETT",
        "first_name": "CHARLES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.