Walter F Priestley, DC, DICCP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005258-1 Issued in NY

Practice address

81 Conklin St
Farmingdale, NY 11735-2555

Phone

(516) 752-1007

Fax

(516) 752-2767

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priestley Chiropractic PCGroup PAC ID 8022477579, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Priestley Chiropractic, P.C.

  • Chiropractor
  • Farmingdale, NY
  • NPI 1508559097
  Medicare reassignment Care Compare group NPD Authorized official
• New York Neurology and Medical Services P.C

  dba New York Neurology & Pain Medicine

  • Neurology Physician
  • Great Neck, NY
  • NPI 1518396308
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1700885670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352555",
            "telephone_number": "516-752-1007",
            "fax_number": "516-752-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352555",
            "telephone_number": "516-752-1007",
            "fax_number": "516-752-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTLEY",
        "first_name": "WALTER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC, DICCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005258-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "X005258-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Internal Medicine, PLLC
• Prempal Singh Physician PC
• Kimberly Marie Preshlock, PMHNP-C
• Teri Pressler, OTR/L
• Priestley Chiropractic, P.C.
• Diana Prilook
• Prime for Life
• Brenda Prince-Ryan
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC

• Chiropractor in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.