Organization Active NPI

SHP Chiropractic P.C.

  • Independent Medical Examiner Chiropractor
  • Flushing, NY
National Provider Identifier
1508643404
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
SHP CHIROPRACTIC P.C.
Practice address
4212 164TH St FL 1
Flushing, NY 11358-2620
Phone
(718) 701-5500
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Sang Ho Park, D.C.
Title
Owner
Phone
(646) 920-8691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

4212 164TH St FL 1
Flushing, NY 11358-2620

Mailing address

PO Box 3485
New Hyde Park, NY 11040-8485
Phone (646) 920-8691

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1508643404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3485",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408485",
            "telephone_number": "646-920-8691",
            "fax_number": "515-604-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 164TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582620",
            "telephone_number": "718-701-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANG HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-920-8691",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.