Organization Active NPI

Delmar Chiropractic Office, P.C.

  • Chiropractor
  • Delmar, NY
National Provider Identifier
1083836688
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3627 Issued in NY
Legal business name
DELMAR CHIROPRACTIC OFFICE, P.C.
Practice address
204 Delaware Avenue
Delmar, NY 12054
Phone
(518) 439-7644
Fax
(518) 439-0191
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Timothy David TalmageNPI 1487718599
Title
President
Phone
(518) 439-7644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X3627 NY Primary

Addresses

Primary practice location

204 Delaware Avenue
Delmar, NY 12054

Mailing address

204 Delaware Avenue
Delmar, NY 12054
Phone (518) 439-7644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050706000584 NY Part B Supplier - Clinic/Group Practice 4880630334 Receives reassigned benefits from 3 practitioners
Practice locations: Delmar, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1083836688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DELAWARE AVENUE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "518-439-7644",
            "fax_number": "518-439-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DELAWARE AVENUE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "518-439-7644",
            "fax_number": "518-439-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR CHIROPRACTIC OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "TALMAGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-439-7644"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.