Great Northern Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

009707 Issued in NY

Legal business name

GREAT NORTHERN CHIROPRACTIC PC

Practice address

15814 Northern Blvd Ste Ul3
Flushing, NY 11358-1600

Phone

(646) 300-4935

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Yong Hong, DC

Title

President

Phone

(646) 300-4935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1609258466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE UL3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "646-300-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE UL3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "646-300-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NORTHERN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-300-4935",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548368434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Flushing, NY
• Providers in Flushing, 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 29, 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.