Centurion Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008580 Issued in NY

Legal business name

CENTURION CHIROPRACTIC PC

Practice address

13772 Northern Blvd
Flushing, NY 11354-4122

Phone

(908) 347-4303

Fax

(973) 759-2046

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chillemi, D.C.

Title

Ceo

Phone

(908) 347-4303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1639358245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544122",
            "telephone_number": "908-347-4303",
            "fax_number": "973-759-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544122",
            "telephone_number": "908-347-4303",
            "fax_number": "973-759-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "CHILLEMI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-347-4303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008580",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2008; 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.