Organization Active NPI

Stern Chiropractic Integrative Wellness, P.C.

  • Sports Physician Chiropractor
  • Mount Kisco, NY
National Provider Identifier
1821310541
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X-003954-1 Issued in NY
Legal business name
STERN CHIROPRACTIC INTEGRATIVE WELLNESS, P.C.
Practice address
121 Smith Ave
Mount Kisco, NY 10549-2855
Phone
(914) 218-6424
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Lawrence Gary Stern, D.C.
Title
President
Phone
(914) 218-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X X-003954-1 NY Primary

Addresses

Primary practice location

121 Smith Ave
Mount Kisco, NY 10549-2855

Mailing address

121 Smith Ave
Mount Kisco, NY 10549-2855
Phone (914) 218-6424

National Provider Directory

National Provider Directory

Locations

27 Radio Circle Dr
Ste 104
Mount Kisco, NY 10549
Phone (914) 864-2222

121 Smith Ave
Mount Kisco, NY 10549
Phone (914) 218-6424

4 Smith Ave
#2
Mount Kisco, NY 10549
Phone (914) 218-6424

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1821310541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492855",
            "telephone_number": "914-218-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492855",
            "telephone_number": "914-218-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERN CHIROPRACTIC INTEGRATIVE WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-218-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X-003954-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.