Individual provider Active NPI

Christos Vasakiris, D.C.

  • Neurology Chiropractor
  • Lindenhurst, NY
National Provider Identifier
1477693240
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
X006139 Issued in NY
Practice address
350 W Montauk Hwy
Lindenhurst, NY 11757-5630
Phone
(631) 226-3030
Fax
(631) 226-3811
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X006139 NY Primary

Addresses

Primary practice location

350 W Montauk Hwy
Lindenhurst, NY 11757-5630

Mailing address

350 W Montauk Hwy
Lindenhurst, NY 11757-5630
Phone (631) 226-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001000 NY Practitioner - Chiropractic 5496733685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 W Montauk Hwy
Lindenhurst, NY 11757-5630
Phone (631) 226-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006139NYMDClinical Neuropsychologist
X006139NYMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Christos Vasakiris DC PC CurrentSince Jan 1, 2003 Accepting new patients

Locations

236 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 226-3030

350 W Montauk Hwy
Lindenhurst, NY 11757
Phone (631) 226-0388

Organizations & group practices 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1477693240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575630",
            "telephone_number": "631-226-3030",
            "fax_number": "631-226-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575630",
            "telephone_number": "631-226-3030",
            "fax_number": "631-226-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAKIRIS",
        "first_name": "CHRISTOS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X006139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.