Organization Active NPI

Summit Chiropractic Care PC

  • Chiropractor
  • Valhalla, NY
National Provider Identifier
1760769319
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8875 Issued in NY
Legal business name
SUMMIT CHIROPRACTIC CARE PC
Practice address
500 Summit Lake Dr
Suite 100
Valhalla, NY 10595-1340
Phone
(917) 974-2004
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Roger Roughley, DC
Title
President
Phone
(917) 974-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8875 NY Primary

Addresses

Primary practice location

500 Summit Lake Dr
Suite 100
Valhalla, NY 10595-1340

Mailing address

500 Summit Lake Dr
Valhalla, NY 10595-1340
Phone (917) 974-2004

National Provider Directory

National Provider Directory

Locations

500 Summit Lake Dr
Valhalla, NY 10595

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1760769319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUMMIT LAKE DR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951340",
            "telephone_number": "917-974-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMIT LAKE DR",
            "address_2": "SUITE 100",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951340",
            "telephone_number": "917-974-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "ROUGHLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-974-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "8875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.