Organization Active NPI

Bellmore Village Chiropractic Wellness PC

  • Chiropractor
  • Bellmore, NY
National Provider Identifier
1861781270
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010656 Issued in NY
Legal business name
BELLMORE VILLAGE CHIROPRACTIC WELLNESS PC
Practice address
110 Bedford Ave
Bellmore, NY 11710-3527
Phone
(516) 809-9191
Fax
(516) 809-9192
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Dana Weissman Timmins, D.C.NPI 1366686396
Title
Owner
Phone
(516) 809-9191

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 010656 NY Primary

Addresses

Primary practice location

110 Bedford Ave
Bellmore, NY 11710-3527

Mailing address

110 Bedford Ave
Bellmore, NY 11710-3527
Phone (516) 809-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000034 NY Part B Supplier - Clinic/Group Practice 3678757267 Receives reassigned benefits from 1 practitioner
Practice locations: Bellmore, NY

National Provider Directory

National Provider Directory

Locations

110 Bedford Ave
Bellmore, NY 11710
Phone (516) 399-0038

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1861781270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103527",
            "telephone_number": "516-809-9191",
            "fax_number": "516-809-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103527",
            "telephone_number": "516-809-9191",
            "fax_number": "516-809-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLMORE VILLAGE CHIROPRACTIC WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "TIMMINS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "WEISSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-809-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.