Active NPI
Kori L Birchenough, D.C.
- Chiropractor
- Fulton, NY
National Provider Identifier
1013131929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010641-1
- Practice address
- 53 S 3Rd St
Fulton, NY 13069-1844 - Phone
- (315) 593-7555
- Fax
- (315) 207-0023
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010641-1 | NY | Primary |
Addresses
Primary practice location
53 S 3Rd St
Fulton, NY 13069-1844
Mailing address
425 Baldwin Rd
Fulton, NY 13069-4868
Phone (315) 529-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220317001290 | NY | Practitioner - Chiropractic | 7214948900 | Practice locations: Fulton, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
53 S 3Rd St
Fulton, NY 13069-1844
Phone (315) 593-7555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010641-1 | NY | MD | Chiropractor |
| 010641 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1013131929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 BALDWIN RD",
"city": "FULTON",
"state": "NY",
"postal_code": "130694868",
"telephone_number": "315-529-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 S 3RD ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691844",
"telephone_number": "315-593-7555",
"fax_number": "315-207-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCHENOUGH",
"first_name": "KORI",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.