1766 Professional Chiropractic, PLLC.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

010200 Issued in NY

Legal business name

1766 PROFESSIONAL CHIROPRACTIC, PLLC.

Practice address

1766 Sunrise Hwy
Bay Shore, NY 11706-6010

Phone

(631) 666-4600

Fax

(631) 666-4605

NPI assigned

Oct 18, 2007

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ramiro Pinto, D.C.NPI 1972559011

Title

Owner/Doctor

Phone

(631) 666-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramiro Pinto

  • Chiropractor
  • Bay Shore, NY
  • NPI 1972559011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1568651149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066010",
            "telephone_number": "631-666-4600",
            "fax_number": "631-666-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066010",
            "telephone_number": "631-666-4600",
            "fax_number": "631-666-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1766 PROFESSIONAL CHIROPRACTIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "631-666-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "010200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.