Michael R. Missenis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

70012659 Issued in NY

Practice address

1539 Crescent Road
Clifton Park, NY 12065

Phone

(518) 373-9999

Fax

(518) 373-8887

NPI assigned

Jun 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David J Cerniglia DC PC

  • Chiropractor
  • Scotia, NY
  • NPI 1013193234
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1528448289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 CRESCENT ROAD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-373-9999",
            "fax_number": "518-373-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 CRESCENT ROAD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-373-9999",
            "fax_number": "518-373-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSENIS",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry S Miller, M.D.
• Jennifer Earle Miller, M.D.
• Jennifer Elizabeth Miller, M.S.
• Kaeley Miller, MD
• Michelle B Miller
• Swatantra Mitta
• Mobile Echocardiography Diagnostics LLC
• Hana Mondelblatt, M.S.ED.
• Melissa Anne Mondesir, DMD
• Ashley Monge, PT, DPT

• Chiropractor in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.