DR. KEN EAGLE D.C. BCN
NPI 1154435519
Chiropractor in Old Bethpage, NY

Active since August 19, 2006
3 SWAN CT, OLD BETHPAGE, NY 11804(516) 381-9055 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ken Eagle D.c. Bcn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEN EAGLE D.C. BCN (NPI 1154435519) is an individual chiropractor in Old Bethpage, New York, licensed in New York (X008036-1) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1154435519
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEN EAGLECredential: D.C. BCN
Location Address3 SWAN CTOld Bethpage, NY 11804-1307
Mailing AddressPo Box 58Old Bethpage, NY 11804-0058 · (516) 381-9055
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
NPI 1154435519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X008036-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 SWAN CT, Old Bethpage, NY 11804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Eagle's NPI number?

The NPI number for Ken Eagle is 1154435519. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Ken Eagle located?

Ken Eagle practices at 3 Swan Ct, Old Bethpage, NY 11804. The listed phone number is (516) 381-9055.

What is Ken Eagle's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ken Eagle was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.