Organization Active NPI

John L. Daccardi, D.C.,P.C.

  • Chiropractor
  • Stony Point, NY
National Provider Identifier
1053373878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X001721-1 Issued in NY
Legal business name
JOHN L. DACCARDI, D.C.,P.C.
Practice address
124 Route 210
Stony Point, NY 10980-1738
Phone
(845) 942-0256
Fax
(845) 942-4023
NPI assigned
Apr 5, 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
John L Daccardi, D.C.
Title
President
Phone
(845) 942-0256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X001721-1 NY Primary

Addresses

Primary practice location

124 Route 210
Stony Point, NY 10980-1738

Mailing address

PO Box 660
Stony Point, NY 10980-0660
Phone (845) 942-0256

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053373878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109800660",
            "telephone_number": "845-942-0256",
            "fax_number": "845-942-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROUTE 210",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801738",
            "telephone_number": "845-942-0256",
            "fax_number": "845-942-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. DACCARDI, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DACCARDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-942-0256",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X001721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Point, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.