Organization Active NPI

Ashburn Family Chiropractic PC

  • Chiropractor
  • Fishkill, NY
National Provider Identifier
1023192945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8664 Issued in NY
Legal business name
ASHBURN FAMILY CHIROPRACTIC PC
Practice address
209 Old Route 9
Fishkill, NY 12524-2472
Phone
(845) 896-1200
Fax
(845) 896-3501
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dawn N Ashburn
Title
Office Manager
Phone
(845) 896-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8664 NY Primary

Addresses

Primary practice location

209 Old Route 9
Fishkill, NY 12524-2472

Mailing address

209 Old Route 9
Fishkill, NY 12524-2472
Phone (845) 896-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000507 NY Part B Supplier - Clinic/Group Practice 0941202469 Receives reassigned benefits from 1 practitioner
Practice locations: Fishkill, NY

National Provider Directory

National Provider Directory

Locations

209 Old Route 9
Fishkill, NY 12524
Phone (845) 875-7133

Practitioners & affiliated clinicians

Practitioners 9

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023192945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 OLD ROUTE 9",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242472",
            "telephone_number": "845-896-1200",
            "fax_number": "845-896-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 OLD ROUTE 9",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242472",
            "telephone_number": "845-896-1200",
            "fax_number": "845-896-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBURN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHBURN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-896-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "8664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.