Organization Active NPI

Paul Anthony Chille DC & Patrice Anne Carroll DC

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1053458273
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAUL ANTHONY CHILLE DC & PATRICE ANNE CARROLL DC
Practice address
106 West Ave
Saratoga Springs, NY 12866-6004
Phone
(518) 587-0057
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Patrice Anne Carroll, D.C.
Title
Partner
Phone
(518) 587-0057

Specialties & licenses 1

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

Addresses

Primary practice location

106 West Ave
Saratoga Springs, NY 12866-6004

Mailing address

106 West Ave
Saratoga Springs, NY 12866-6004
Phone (518) 587-0057

Other identifiers 1

IdentifierTypeStateIssuer
6554OtherNYCDPHP GROUP #

Other names 1

  • Paul Chille & Patrice Carroll Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000731 NY Part B Supplier - Clinic/Group Practice 1759333495 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

106 West Ave
Saratoga Springs, NY 12866
Phone (518) 587-0057

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1053458273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WEST AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666004",
            "telephone_number": "518-587-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666004",
            "telephone_number": "518-587-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ANTHONY CHILLE DC & PATRICE ANNE CARROLL DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-587-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GROUP #",
            "identifier": "6554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Chille & Patrice Carroll",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.