Organization Active NPI

Chiropractic Health Center of Smithtown

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1992006605
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CENTER OF SMITHTOWN
Practice address
1 Edgewood Ave
Smithtown, NY 11787-2742
Phone
(631) 979-8508
Fax
(631) 979-0998
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Eric Valins, DCNPI 1114014545
Title
Owner
Phone
(631) 979-8508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1 Edgewood Ave
Smithtown, NY 11787-2742

Mailing address

1 Edgewood Ave
Smithtown, NY 11787-2742
Phone (631) 979-8508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000506 NY Part B Supplier - Clinic/Group Practice 1153599303 Receives reassigned benefits from 2 practitioners
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

1 Edgewood Ave
Ste 100
Smithtown, NY 11787
Phone (631) 979-8508

1 Edgewood Ave
Smithtown, NY 11787
Phone (631) 543-4140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1992006605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF SMITHTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "VALINS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-979-8508",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.