Park Place Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011327 Issued in NY

Legal business name

PARK PLACE CHIROPRACTIC PLLC

Practice address

109 Echo Ave
Miller Place, NY 11764-2205

Phone

(631) 331-5353

Fax

(631) 331-3948

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Elsholz, D.C.

Title

Owner

Phone

(631) 331-5353

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Joseph Colascione, D.C.

  • Chiropractor
  • Miller Place, NY
  • NPI 1437242369
  NPD (past)
• Dennis P Cummins

  • Chiropractor
  • Miller Place, NY
  • NPI 1831287903
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1871962258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ECHO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642205",
            "telephone_number": "631-331-5353",
            "fax_number": "631-331-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ECHO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642205",
            "telephone_number": "631-331-5353",
            "fax_number": "631-331-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "ELSHOLZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-331-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Pallotto, RN
• Pollytia Irene Panagiotou
• Chrissi Pappas, M.S., CCC-SLP
• Raymond Karl Parenti, L.M.S.W.
• Tara Parisi
• Kristen Leigh Parker
• Kristi Parrella
• Margaret Pearse
• Joseph Pepe, LMHC
• Jared Scott Percyz, D.D.S.

• Chiropractor in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.