Richard J Herbold Chiropractor PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0273-1 Issued in NY

Legal business name

RICHARD J HERBOLD CHIROPRACTOR PC

Practice address

140 Lapp Rd
Clifton Park, NY 12065-6018

Phone

(518) 371-6431

Fax

(518) 383-5245

NPI assigned

Sep 29, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Herbold, D.C.NPI 1013919869

Title

Owner

Phone

(518) 371-6431

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard J Herbold, D.C.

  • Chiropractor
  • Clifton Park, NY
  • NPI 1013919869
  Authorized official Same address or phone

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1013241678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051119",
            "telephone_number": "518-374-7555",
            "fax_number": "518-374-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LAPP RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656018",
            "telephone_number": "518-371-6431",
            "fax_number": "518-383-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J HERBOLD CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "HERBOLD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-371-6431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0273-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "02731-0",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "J100006352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.