Organization Active NPI

Dasha Wellness Chiropractic, PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1922248665
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008979 Issued in NY
Legal business name
DASHA WELLNESS CHIROPRACTIC, PC
Practice address
440 E 62ND St
Suite 14D
New York, NY 10065-8340
Phone
(212) 755-5051
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Darren K Pollack, DC
Title
President
Phone
(917) 301-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X008979 NY Primary

Addresses

Primary practice location

440 E 62ND St
Suite 14D
New York, NY 10065-8340

Mailing address

440 E 62ND St
Suite 14D
New York, NY 10065-8340
Phone (212) 755-5051

Other identifiers 1

IdentifierTypeStateIssuer
X6A421OtherNYMEDICARE

Other names 1

  • DaSha Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dasha Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1922248665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E 62ND ST",
            "address_2": "SUITE 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658340",
            "telephone_number": "212-755-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E 62ND ST",
            "address_2": "SUITE 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658340",
            "telephone_number": "212-755-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASHA WELLNESS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-301-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "X6A421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaSha Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 20, 2009; 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.