Organization Active NPI

Grove Street Chiropractic, PC

  • Chiropractor
  • Tannersville, NY
National Provider Identifier
1013068170
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GROVE STREET CHIROPRACTIC, PC
Practice address
Route 23 a
Tannersville, NY 12485
Phone
(518) 589-5060
Fax
(518) 589-5470
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Lee McGunnigle, DCNPI 1467599886
Title
Ownder
Phone
(518) 589-5060

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

Route 23 a
Tannersville, NY 12485

Mailing address

Box 83
Tannersville, NY 12485
Phone (518) 589-5060

National Provider Directory

National Provider Directory

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1013068170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 83",
            "city": "TANNERSVILLE",
            "state": "NY",
            "postal_code": "12485",
            "telephone_number": "518-589-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 23 A",
            "city": "TANNERSVILLE",
            "state": "NY",
            "postal_code": "12485",
            "telephone_number": "518-589-5060",
            "fax_number": "518-589-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE STREET CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "MCGUNNIGLE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "518-589-5060",
        "authorized_official_name_prefix": "Dr.",
        "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 Tannersville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.