Individual provider Active NPI

Bruce Sirlin, D.C.

  • Chiropractor
  • Pleasantville, NY
National Provider Identifier
1689744757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004549 Issued in NY
Practice address
471 Bedford Rd
Pleasantville, NY 10570-2928
Phone
(914) 769-4647
Fax
(914) 769-4491
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004549 NY Primary

Addresses

Primary practice location

471 Bedford Rd
Pleasantville, NY 10570-2928

Mailing address

471 Bedford Rd
Pleasantville, NY 10570-2928
Phone (914) 769-4647

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004549NYMDChiropractor
004549NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689744757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 BEDFORD RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702928",
            "telephone_number": "914-769-4647",
            "fax_number": "914-769-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 BEDFORD RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702928",
            "telephone_number": "914-769-4647",
            "fax_number": "914-769-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRLIN",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.