Individual provider Active NPI

Joseph E Kansao, CH

  • Sports Physician Chiropractor
  • New York, NY
National Provider Identifier
1730286378
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X3881 Issued in NY
Practice address
1120 Park Ave
New York, NY 10128-1242
Phone
(212) 360-6100
Fax
(212) 360-7052
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X3881 NY Primary

Addresses

Primary practice location

1120 Park Ave
New York, NY 10128-1242

Mailing address

1120 Park Ave
New York, NY 10128-1242
Phone (212) 360-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000473 NY Practitioner - Chiropractic 1759279193 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Park Ave
New York, NY 10128-1242
Phone (212) 360-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3881NYMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1730286378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281242",
            "telephone_number": "212-360-6100",
            "fax_number": "212-360-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281242",
            "telephone_number": "212-360-6100",
            "fax_number": "212-360-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSAO",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X3881",
            "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 Mar 17, 2008; 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.