Active NPI
Paul Anthony Chille DC & Patrice Anne Carroll DC
- Chiropractor
- Saratoga Springs, NY
National Provider Identifier
1053458273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6554 | Other | NY | CDPHP GROUP # |
Other names 1
- Paul Chille & Patrice Carroll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Saratoga Springs, NY
- NPI 1205992369
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.