Active NPI
Michael Wald
- Chiropractor
- Mount Kisco, NY
National Provider Identifier
1588022453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006632
- Practice address
- 86 Smith Ave
Mount Kisco, NY 10549-2816 - Phone
- (914) 242-8844
- NPI assigned
- Feb 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006632 | NY | Primary |
| Registered Dietitian | 133V00000X | 005391 | NY |
Addresses
Primary practice location
86 Smith Ave
Mount Kisco, NY 10549-2816
Mailing address
86 Smith Ave
Mount Kisco, NY 10549-2816
Phone (914) 242-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 5, 2016 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006632 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1588022453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492816",
"telephone_number": "914-242-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492816",
"telephone_number": "914-242-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALD",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006632",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.