Organization Active NPI

Green Sand Chiropractic LLC

  • Independent Medical Examiner Chiropractor
  • Brooklyn, NY
National Provider Identifier
1831426311
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
X010763 Issued in NY
Legal business name
GREEN SAND CHIROPRACTIC LLC
Practice address
5455 Kings Hwy Ste 1
Brooklyn, NY 11203-6040
Phone
(631) 838-5802
Fax
(206) 426-3096
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Shanika Choo-Ying, D.CNPI 1417102377
Title
Chiropractor
Phone
(631) 838-5802

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)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X X010763 NY Primary

Addresses

Primary practice location

5455 Kings Hwy Ste 1
Brooklyn, NY 11203-6040

Mailing address

5455 Kings Hwy Ste 1
Brooklyn, NY 11203-6040
Phone (631) 838-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000024 NY Part B Supplier - Clinic/Group Practice 7517006760 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

5455 Kings Hwy
Ste 1
Brooklyn, NY 11203
Phone (631) 838-5802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1831426311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 KINGS HWY STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036040",
            "telephone_number": "631-838-5802",
            "fax_number": "206-426-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 KINGS HWY STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036040",
            "telephone_number": "631-838-5802",
            "fax_number": "206-426-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SAND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CHOO-YING",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-838-5802",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NY",
            "license": "X010763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.