Individual provider Active NPI

Christopher Lorenzo Tice, D.C.

  • Neurology Chiropractor
  • New Hyde Park, NY
National Provider Identifier
1568892255
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
X005507-1 Issued in NY
Practice address
444 Lakeville Rd
Suite103
New Hyde Park, NY 11042-1120
Phone
(516) 208-9360
Fax
(516) 208-9360
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X005507-1 NY Primary

Addresses

Primary practice location

444 Lakeville Rd
Suite103
New Hyde Park, NY 11042-1120

Mailing address

444 Lakeville Rd
Suite103
New Hyde Park, NY 11042-1120
Phone (516) 208-9360

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X005507-1NYMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1568892255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421120",
            "telephone_number": "516-208-9360",
            "fax_number": "516-208-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "SUITE103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421120",
            "telephone_number": "516-208-9360",
            "fax_number": "516-208-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X005507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.