Organization Active NPI

K Chiropractic PC

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1699103176
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
70012029 Issued in NY
Legal business name
K CHIROPRACTIC PC
Practice address
15015 41St Ave Ste 3
Flushing, NY 11354-4929
Phone
(718) 321-8522
Fax
(718) 321-8524
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Hoseok Kwak, DC
Title
President
Phone
(718) 321-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 70012029 NY Primary

Addresses

Primary practice location

15015 41St Ave Ste 3
Flushing, NY 11354-4929

Mailing address

15015 41St Ave Ste 3
Flushing, NY 11354-4929
Phone (718) 321-8522

Other identifiers 1

IdentifierTypeStateIssuer
1255626875OtherNYNPI

National Provider Directory

National Provider Directory

Locations

16410 Crocheron Ave
Flushing, NY 11358
Phone (718) 445-6272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1699103176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE STE 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544929",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE STE 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544929",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "HOSEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-8222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255626875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.