Chiropractic Wellness of Middletown, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006642 Issued in NY

Legal business name

CHIROPRACTIC WELLNESS OF MIDDLETOWN, P.C.

Practice address

201 Dolson Ave Ste H100
Middletown, NY 10940

Phone

(845) 342-0000

NPI assigned

Jan 25, 2018

Last updated

Jul 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Spina, DCNPI 1679619480

Title

Owner/Chiroprator

Phone

(845) 342-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David S. Spina, D.C.

  • Chiropractor
  • Middletown, NY
  • NPI 1679619480
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy Barry, D.C.

  • Chiropractor
  • Ferndale, NY
  • NPI 1457549255
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1801394804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE H100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOLSON AVE STE H100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-342-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS OF MIDDLETOWN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRATOR",
        "authorized_official_telephone_number": "845-342-0000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENS",
            "identifier": "X006642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wing Lee Cheung
• Stefan Gary Chevalier, D.O.
• Konan Chiang, M.D
• Winifred Chijioke
• Nia Mikayla Childs
• Michael N Cho, M.D.
• Lisa E Choi, MD
• Rosa Choung, MD
• Fariha Chowdhury, MD
• Fizza Chowdhury, OTR/L

• 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 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.