Spinal Disc Regeneration Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007976-1 Issued in NY

Legal business name

SPINAL DISC REGENERATION CENTER

Practice address

1116 Arsenal St
Watertown, NY 13601-2229

Phone

(315) 782-7166

NPI assigned

Jun 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Keshmiri, DC

Title

Owner/Manager

Phone

(315) 782-7166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1740501204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012229",
            "telephone_number": "315-782-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012229",
            "telephone_number": "315-782-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DISC REGENERATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "KESHMIRI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "315-782-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Soper
• Fakira Soumaila-Borkovec, FNP-C
• Kristen Leigh Sparks, M.S.
• Kelly Ann Spencer Ayen, COTA/L
• Nancy J Spicer, ANP
• Matthew Thomas Springer, DO
• Charles St James, BC HIS
• Michael Eric Stabinski, CRNA
• Natalie Eberl Stacklin-Jarvis, NP-C
• Laura A Stamboly

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.