Active NPI
GKDC Inc.
- Chiropractor
- Mamaroneck, NY
National Provider Identifier
1851464408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009737
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Krieger, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652644 | Other | NM | ACN |
| P2981383 | Other | NY | OXFORD |
| X5V43 | Other | NY | BLUE CROSS BLUE SHIELD |
| XVW791 | Other | NY | MEDICARE PTAN |
| 5897815 | Other | NY | GHI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Mamaroneck, NY
- NPI 1083787659
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.