Active NPI
Richard W Eggert
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1568525947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004698
- Practice address
- 9408 4TH Ave
Brooklyn, NY 11209-7301 - Phone
- (718) 745-2229
- Fax
- (718) 745-0497
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X004698 | NY | Primary |
Addresses
Primary practice location
9408 4TH Ave
Brooklyn, NY 11209-7301
Mailing address
9408 4TH Ave
Brooklyn, NY 11209-7301
Phone (718) 745-2229
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0043044 | Other | NY | GHI INSURANCE # |
| 1329563002 | Other | NY | CIGNA HMO # |
| 33708 | Other | NY | AETNA # |
| 605075 | Other | NY | ACN NETWORK # |
| C046989 | Other | NY | WORKERS' COMP # |
| P46457085 | Other | NY | MULTI PLAN NETWORK # |
| P858667 | Other | NY | OXFORD NETWORK # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004698 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1568525947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097301",
"telephone_number": "718-745-2229",
"fax_number": "718-745-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9408 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097301",
"telephone_number": "718-745-2229",
"fax_number": "718-745-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGERT",
"first_name": "RICHARD",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI INSURANCE #",
"identifier": "0043044",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO #",
"identifier": "1329563002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA #",
"identifier": "33708",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN NETWORK #",
"identifier": "605075",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMP #",
"identifier": "C046989",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN NETWORK #",
"identifier": "P46457085",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD NETWORK #",
"identifier": "P858667",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.