Pericles Christo Gardianos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X-007623-1 Issued in NY

Practice address

1128 Dolsontown Rd
Middletown, NY 10940-4746

Phone

(845) 342-1481

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Craft Chiropractic Associates

  • Chiropractor
  • Ellenville, NY
  • NPI 1902971534
  NPD (past)
• Devon Craft DO PC

  • Primary Care Clinic/Center
  • Ellenville, NY
  • NPI 1871052175
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770513285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 DOLSONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404746",
            "telephone_number": "845-342-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 DOLSONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404746",
            "telephone_number": "845-342-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDIANOS",
        "first_name": "PERICLES",
        "middle_name": "CHRISTO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-007623-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 04656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIPPA EXTENSION CONF. NUM",
            "identifier": "108 6429",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY CHIRO. LICENSE #",
            "identifier": "X-007623-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "X0-C27",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE #",
            "identifier": "MC 04656",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD NON-PAR. PROVIDER",
            "identifier": "P 2515 736",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY WORKERS COMPENSATION N",
            "identifier": "C07623-4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nageh A Garas, M.D.
• Andrew M. Garcia, M.D.
• Daphne A Garcia, RPA-C
• Esther Garcia
• Joanna Garcia, LMSW
• Samantha Erin Garigliano, PA-C
• Rory Patrick Garland, PHARM. D.
• Tami Garland, RN
• Sharon Garma
• Tamar Garner, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.