NPIMap

Organization Active NPI

Pernice Chiropractic P.C.

  • Chiropractor
  • Selden, NY
National Provider Identifier
1659676161
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005707-07 Issued in NY
Legal business name
PERNICE CHIROPRACTIC P.C.
Practice address
301 Mooney Pond Rd
Selden, NY 11784-3414
Phone
(631) 736-1000
Fax
(631) 736-1023
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Frank A Pernice Jr., DC
Title
President/Doctor
Phone
(631) 736-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X005707-07 NY Primary

Addresses

Primary practice location

301 Mooney Pond Rd
Selden, NY 11784-3414

Mailing address

301 Mooney Pond Rd
Selden, NY 11784-3414
Phone (631) 736-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1659676161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MOONEY POND RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843414",
            "telephone_number": "631-736-1000",
            "fax_number": "631-736-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOONEY POND RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843414",
            "telephone_number": "631-736-1000",
            "fax_number": "631-736-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNICE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PERNICE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "631-736-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005707-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.