Active NPI
Atlas Chiropractic Spine Care, PLLC
- Chiropractor
- New York, NY
National Provider Identifier
1750805446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 010261
- Legal business name
- ATLAS CHIROPRACTIC SPINE CARE, PLLC
- Practice address
- 65 Broadway Ste 1003
New York, NY 10006-2527 - Phone
- (212) 379-6535
- NPI assigned
- Aug 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael John D'Avanzo, D.C.
- Title
- Owner/Chiropractor
- Phone
- (212) 379-6535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 010261 | NY | Primary |
Addresses
Primary practice location
65 Broadway Ste 1003
New York, NY 10006-2527
Mailing address
65 Broadway Ste 1003
New York, NY 10006-2527
Phone (212) 379-6535
National Provider Directory
National Provider DirectoryLocations
65 Broadway
Ste 1003
New York, NY 10006
Phone (212) 379-6535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New York, NY
- NPI 1609945088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542240000000",
"number": "1750805446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BROADWAY STE 1003",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062527",
"telephone_number": "212-379-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BROADWAY STE 1003",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062527",
"telephone_number": "212-379-6535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS CHIROPRACTIC SPINE CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-03",
"last_updated": "2018-11-15",
"status": "A",
"authorized_official_last_name": "D'AVANZO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "212-379-6535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "010261",
"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 Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.