Individual provider Active NPI

Nicole C Lynk, DC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1093230005
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012637-1 Issued in NY
Practice address
1732 W Genesee St
Syracuse, NY 13204-1902
Phone
(315) 214-8100
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012637-1 NY Primary

Addresses

Primary practice location

1732 W Genesee St
Syracuse, NY 13204-1902

Mailing address

1732 W Genesee St
Syracuse, NY 13204-1902
Phone (315) 214-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202001491 NY Practitioner - Chiropractic 6204269400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Point Chiropractic Wellness, P.C.Group PAC ID 4082899422, 3 clinicians

Practice addresses (Care Compare)

1732 W Genesee St
Syracuse, NY 13204-1902
Phone (315) 214-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012637-1NYMDChiropractor
012637NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Chiropractic Wellness PC Chiropractor CurrentSince Oct 21, 2019 Accepting new patients

Locations

1732 W Genesee St
Syracuse, NY 13204
Phone (315) 214-8100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093230005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-214-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-214-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNK",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.