Head to Toe Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007538-1 Issued in NY

Legal business name

HEAD TO TOE CHIROPRACTIC, PLLC

Practice address

2500 Nesconset Highway
Building 9B
Stony Brook, NY 11790

Phone

(631) 689-0049

Fax

(631) 689-0071

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Susan Tara Mackey, D.C.

Title

Owner

Phone

(631) 689-0049

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Optimum Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1508306333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HIGHWAY",
            "address_2": "BUILDING 9B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-0049",
            "fax_number": "631-689-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HIGHWAY",
            "address_2": "BUILDING 9B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-0049",
            "fax_number": "631-689-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO TOE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-689-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007538-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C075384",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "X97331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5899840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daichi Hayashi, M.D.
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• Peiyi He
• Wei He, PA
• Amanda Daisy Heard, M.D.
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• Mia Annalise Heiligenstein, M.D.
• Alan Heimann, M.D.
• Mark Hellerman, MD

• Chiropractor in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.