Organization Active NPI

KJC Chiropractic PC

  • Chiropractor
  • Lynbrook, NY
National Provider Identifier
1518102763
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011421 Issued in NY
Legal business name
KJC CHIROPRACTIC PC
Practice address
255 Broadway
Lynbrook, NY 11563-3243
Phone
(516) 341-7706
Fax
(516) 341-7708
NPI assigned
Dec 2, 2008
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Dr. Kentia Jean-Charles, DC
Title
Chiropractor
Phone
(516) 341-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011421 NY Primary

Addresses

Primary practice location

255 Broadway
Lynbrook, NY 11563-3243

Mailing address

255 Broadway
Lynbrook, NY 11563-3243
Phone (516) 341-7706

National Provider Directory

National Provider Directory

Locations

2327 83rd St
Ste A
Brooklyn, NY 11214
Phone (718) 513-4577

4924 Avenue K
Brooklyn, NY 11234
Phone (347) 713-4030

26003 Union Tpke
Glen Oaks, NY 11004
Phone (718) 360-9603

50 Rockaway Ave
Valley Stream, NY 11580
Phone (516) 256-1599

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1518102763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-341-7706",
            "fax_number": "516-341-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-341-7706",
            "fax_number": "516-341-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJC CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "JEAN-CHARLES",
        "authorized_official_first_name": "KENTIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-341-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.