Organization Active NPI

Sunrise Chiropractic PC

  • Chiropractor
  • Seaford, NY
National Provider Identifier
1740357961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009553 Issued in NY
Legal business name
SUNRISE CHIROPRACTIC PC
Practice address
3900 Sunrise Highway
Suite 1
Seaford, NY 11783
Phone
(516) 826-1800
Fax
(516) 826-0043
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Yodice, DC
Title
Pres
Phone
(516) 991-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009553 NY Primary

Addresses

Primary practice location

3900 Sunrise Highway
Suite 1
Seaford, NY 11783

Mailing address

3900 Sunrise Highway
Suite 1
Seaford, NY 11783
Phone (516) 826-1800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740357961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNRISE HIGHWAY",
            "address_2": "SUITE 1",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "11783",
            "telephone_number": "516-826-1800",
            "fax_number": "516-826-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNRISE HIGHWAY",
            "address_2": "SUITE 1",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "11783",
            "telephone_number": "516-826-1800",
            "fax_number": "516-826-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YODICE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-991-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.