Organization Active NPI

GKDC Inc.

  • Chiropractor
  • Mamaroneck, NY
National Provider Identifier
1851464408
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009737 Issued in NY
Legal business name
GKDC INC.
Practice address
1600 Harrison Ave
Suite 104
Mamaroneck, NY 10543-3145
Phone
(914) 698-9283
Fax
(914) 698-9436
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Glenn Krieger, D.C.NPI 1083787659
Title
Owner, President
Phone
(914) 698-9283

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009737 NY Primary

Addresses

Primary practice location

1600 Harrison Ave
Suite 104
Mamaroneck, NY 10543-3145

Mailing address

PO Box 611
Harrison, NY 10528-0611
Phone (914) 698-9283

Other identifiers 5

IdentifierTypeStateIssuer
652644OtherNMACN
P2981383OtherNYOXFORD
X5V43OtherNYBLUE CROSS BLUE SHIELD
XVW791OtherNYMEDICARE PTAN
5897815OtherNYGHI

National Provider Directory

National Provider Directory

Locations

1600 Harrison Ave
Ste 104
Mamaroneck, NY 10543
Phone (914) 698-9283

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1851464408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105280611",
            "telephone_number": "914-698-9283",
            "fax_number": "914-698-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 104",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-698-9283",
            "fax_number": "914-698-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKDC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "914-698-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "652644",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2981383",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X5V43",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "XVW791",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.