Organization Active NPI

KGS Chiropractic PLLC

  • Chiropractor
  • White Plains, NY
National Provider Identifier
1487105847
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
XO113122 Issued in NY
Legal business name
KGS CHIROPRACTIC PLLC
Practice address
235 Mamaroneck Ave
Suite 105
White Plains, NY 10605-1315
Phone
(914) 686-8844
Fax
(914) 686-8842
NPI assigned
Oct 20, 2016
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Dr. Konstantinos Sofos, CHIROPRACTICNPI 1285792499
Title
Owner
Phone
(914) 686-8844

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 XO113122 NY Primary

Addresses

Primary practice location

235 Mamaroneck Ave
Suite 105
White Plains, NY 10605-1315

Mailing address

235 Mamaroneck Avenue
Suite 105
White Plains, NY 10605
Phone (914) 686-8844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180813001097 NY Part B Supplier - Clinic/Group Practice 2769730407 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory
Tax ID family
KGS Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1487105847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVENUE",
            "address_2": "SUITE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-686-8844",
            "fax_number": "914-686-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAMARONECK AVE",
            "address_2": "SUITE 105",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051315",
            "telephone_number": "914-686-8844",
            "fax_number": "914-686-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "SOFOS",
        "authorized_official_first_name": "KONSTANTINOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-686-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO113122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.