Active NPI
Robert A Strange, DC LAC
- Chiropractor
- Millbrook, NY
National Provider Identifier
1962572883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004397-1
- Practice address
- 3 Merritt Ave.
Millbrook, NY 12545-0725 - Phone
- (845) 677-5410
- Fax
- (845) 677-4163
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X004397-1 | NY | Primary |
| Acupuncturist | 171100000X | 003463-1 | NY |
Addresses
Primary practice location
3 Merritt Ave.
Millbrook, NY 12545-0725
Mailing address
3 Merritt Ave.
PO Box 725
Millbrook, NY 12545-0725
Phone (845) 677-5410
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7233K2 | Other | NY | BLUECROSS/ BLUE SHIELD |
| 4397-8B | Other | NY | WORK COMP BOARD |
| 820148 | Other | NY | MANAGED PHYSICAL NETWORK |
| X32R71 | Other | NY | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041115000083 | NY | Practitioner - Chiropractic | 0840254454 | Practice locations: Millbrook, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Elm Dr
Millbrook, NY 12545-0725
Phone (845) 677-5410
PO Box
Millbrook, NY 12545-0725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004397-1 | NY | MD | Chiropractor |
| 003463-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1962572883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MERRITT AVE.",
"address_2": "PO BOX 725",
"city": "MILLBROOK",
"state": "NY",
"postal_code": "125450725",
"telephone_number": "845-677-5410",
"fax_number": "845-677-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MERRITT AVE.",
"city": "MILLBROOK",
"state": "NY",
"postal_code": "125450725",
"telephone_number": "845-677-5410",
"fax_number": "845-677-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRANGE",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004397-1",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003463-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/ BLUE SHIELD",
"identifier": "7233K2",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP BOARD",
"identifier": "4397-8B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED PHYSICAL NETWORK",
"identifier": "820148",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "X32R71",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.