Individual provider Active NPI

Charles A Sallahian, DC

  • Chiropractor
  • Nanuet, NY
National Provider Identifier
1912971136
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3403 Issued in NY
Practice address
4 Amarillo Dr
Nanuet, NY 10954-1301
Phone
(845) 623-5610
Fax
(212) 213-3929
NPI assigned
Feb 14, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3403 NY Primary
Orthopedic Chiropractor 111NX0800X X3403 NY

Addresses

Primary practice location

4 Amarillo Dr
Nanuet, NY 10954-1301

Mailing address

4 Amarillo Dr
Nanuet, NY 10954-1301
Phone (845) 623-5610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000339 NY Practitioner - Chiropractic 6800997800 Practice locations: Nanuet, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Amarillo Dr
Nanuet, NY 10954-1301
Phone (845) 548-3971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3403NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1912971136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AMARILLO DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541301",
            "telephone_number": "845-623-5610",
            "fax_number": "212-213-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AMARILLO DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541301",
            "telephone_number": "845-623-5610",
            "fax_number": "212-213-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLAHIAN",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3403",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X3403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.