Gregory Paul Krumholz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008489-1 Issued in NY

Practice address

258 E Suffolk Ave
Central Islip, NY 11722-2634

Phone

(631) 348-6780

Fax

(631) 348-6780

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912072034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 E SUFFOLK AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222634",
            "telephone_number": "631-348-6780",
            "fax_number": "631-348-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E SUFFOLK AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222634",
            "telephone_number": "631-348-6780",
            "fax_number": "631-348-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMHOLZ",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirshenbaum Peruso Kautman LLP (Carleton Ave Family Dental)
• Kayla Rachelle Knotts, LMSW
• Erik Thomas Knudsen, DC
• Janine Koehler, RN
• Kenneth John Kopczynski Jr.
• Kelsey Rose Krumholz
• Claudette Marx Lacast, LPN
• Marge Lacoste-Langston
• Roxane Lacy, M.D.
• John David Lance, LMT

• Chiropractor in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.