Organization Active NPI

Saratoga Total Wellness Chiropractic, PLLC

Doing business as Saratoga Chiropractic

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1003273459
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X001617 Issued in NY
Legal business name
SARATOGA TOTAL WELLNESS CHIROPRACTIC, PLLC
Doing business as
Saratoga Chiropractic
Practice address
376 Broadway
Ste L4
Saratoga Springs, NY 12866-3127
Phone
(518) 435-1280
Fax
(518) 886-8099
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Jaclyn Purcell, D.C.NPI 1689810251
Title
Chiropractor/Owner
Phone
(518) 886-8189

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 X001617 NY Primary

Addresses

Primary practice location

376 Broadway
Ste L4
Saratoga Springs, NY 12866-3127

Mailing address

376 Broadway
Ste L4
Saratoga Springs, NY 12866-3127
Phone (518) 886-8189

Other names 1

  • Saratoga Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728001826 NY Part B Supplier - Clinic/Group Practice 8527351527 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

376 Broadway
Ste L4
Saratoga Springs, NY 12866
Phone (518) 435-1280

Practitioners & affiliated clinicians

Practitioners 1

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1003273459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BROADWAY",
            "address_2": "STE L4",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663127",
            "telephone_number": "518-886-8189",
            "fax_number": "518-886-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BROADWAY",
            "address_2": "STE L4",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663127",
            "telephone_number": "518-435-1280",
            "fax_number": "518-886-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA TOTAL WELLNESS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "518-886-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X001617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saratoga Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.