R.E. Chiropractic Services, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010189-1 Issued in NY

Legal business name

R.E. CHIROPRACTIC SERVICES, PLLC

Practice address

139-39 35TH Ave.
Suite CFB
Flushing, NY 11354-3500

Phone

(516) 526-2793

Fax

(718) 709-5913

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard Fredrick Ebbrecht, MONICA KIM

Title

Billing Manager

Phone

(646) 732-2758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1952727331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JULIA CIR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532652",
            "telephone_number": "516-526-2793",
            "fax_number": "718-709-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139-39 35TH AVE.",
            "address_2": "SUITE CFB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543500",
            "telephone_number": "516-526-2793",
            "fax_number": "718-709-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E. CHIROPRACTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "EBBRECHT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "646-732-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MONICA KIM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010189-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Flushing, NY
• Providers in Flushing, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.