Individual provider Active NPI

Richard Manoni, DC

  • Chiropractor
  • Bethpage, NY
National Provider Identifier
1477646867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0023801 Issued in NY
Practice address
465 Central Ave
Bethpage, NY 11714-3901
Phone
(516) 939-0066
Fax
(516) 681-0405
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0023801 NY Primary

Addresses

Primary practice location

465 Central Ave
Bethpage, NY 11714-3901

Mailing address

465 Central Ave
Bethpage, NY 11714-3901
Phone (516) 939-0066

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
X0023801NYMDChiropractor
002380NYMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477646867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143901",
            "telephone_number": "516-939-0066",
            "fax_number": "516-681-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143901",
            "telephone_number": "516-939-0066",
            "fax_number": "516-681-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANONI",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0023801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.