Individual provider Active NPI

Steven G Geanopulos, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1902845977
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008387 Issued in NY
Practice address
812 W 181St St
New York, NY 10033-4543
Phone
(212) 928-3300
Fax
(212) 740-2005
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008387 NY Primary

Addresses

Primary practice location

812 W 181St St
New York, NY 10033-4543

Mailing address

812 W 181St St
New York, NY 10033-4543
Phone (212) 928-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000083 NY Practitioner - Chiropractic 1658271804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008387NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven G Geanopulos DC PC Chiropractor CurrentSince Feb 18, 1999 Accepting new patients
New Heights Chiropractic Chiropractor Past Accepting new patients
Steven G. Geanopulos DC PC Past Accepting new patients

Locations

812 W 181st St
New York, NY 10033
Phone (212) 569-0557

812 W 181st St
Apt 5
New York, NY 10033
Phone (212) 928-3300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1902845977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334543",
            "telephone_number": "212-928-3300",
            "fax_number": "212-740-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334543",
            "telephone_number": "212-928-3300",
            "fax_number": "212-740-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEANOPULOS",
        "first_name": "STEVEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.