Individual provider Active NPI

David Evan Eisenberg, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1700968278
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011023 Issued in NY
Practice address
310 E 46TH St
Apt 5K
New York, NY 10017-3036
Phone
(718) 229-8770
Fax
(718) 747-2967
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011023 NY Primary

Addresses

Primary practice location

310 E 46TH St
Apt 5K
New York, NY 10017-3036

Mailing address

310 E 46TH St
Apt 5K
New York, NY 10017-3036
Phone (718) 229-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000367 NY Practitioner - Chiropractic 8426066788 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1700968278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 46TH ST",
            "address_2": "APT 5K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173036",
            "telephone_number": "718-229-8770",
            "fax_number": "718-747-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 46TH ST",
            "address_2": "APT 5K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173036",
            "telephone_number": "718-229-8770",
            "fax_number": "718-747-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "DAVID",
        "middle_name": "EVAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.