Organization Active NPI

Prosperity Chiropractic, P.C.

  • Chiropractor
  • Jamaica, NY
National Provider Identifier
1518126366
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011525 Issued in NY
Legal business name
PROSPERITY CHIROPRACTIC, P.C.
Practice address
8915 Parsons Blvd
Suite 1G
Jamaica, NY 11432-6005
Phone
(347) 960-7774
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. James S Lee, DC
Title
Chiropractor
Phone
(347) 960-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011525 NY Primary

Addresses

Primary practice location

8915 Parsons Blvd
Suite 1G
Jamaica, NY 11432-6005

Mailing address

8915 Parsons Blvd
Suite 1G
Jamaica, NY 11432-6005
Phone (347) 960-7774

Other identifiers 2

IdentifierTypeStateIssuer
38MC00668000OtherNJNEW JERSEY STATE LICENSE
CHIR008311OtherGAGEORGIA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

8915 Parsons Blvd
Ste 1
Jamaica, NY 11432
Phone (347) 960-7774

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1518126366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 PARSONS BLVD",
            "address_2": "SUITE 1G",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326005",
            "telephone_number": "347-960-7774",
            "fax_number": "347-960-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 PARSONS BLVD",
            "address_2": "SUITE 1G",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326005",
            "telephone_number": "347-960-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "347-960-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE LICENSE",
            "identifier": "38MC00668000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "CHIR008311",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.