Chase Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008066-1 Issued in NY

Legal business name

CHASE CHIROPRACTIC LLC

Practice address

17 Pine St. 1 Irongate Center
Suite 3
Glens Falls, NY 12801

Phone

(518) 743-0163

Fax

(518) 743-0973

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D Chase, DCNPI 1295823581

Title

Owner

Phone

(518) 743-0163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Dustin Chase, DC

  • Chiropractor
  • Glens Falls, NY
  • NPI 1295823581
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1104087667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PINE ST. 1 IRONGATE CENTER",
            "address_2": "SUITE 3",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-743-0163",
            "fax_number": "518-743-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PINE ST. 1 IRONGATE CENTER",
            "address_2": "SUITE 3",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-743-0163",
            "fax_number": "518-743-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-743-0163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Elaine Chaffee, PA-C
• Joan Chambers
• Carolyn Chapman
• Charles L. Lowe, M.D.
• Abigail R Charter, PA
• Matthew Dustin Chase, DC
• Michael Chase, MD
• Asim Chaudry, M.D.
• Alison Chesnick, RD
• Robin T Chiaravalle, MSW

• Chiropractor in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.