Organization Active NPI

Teresa M Bach Carthage Family Chiroprac

  • Chiropractor
  • Carthage, NY
National Provider Identifier
1104910967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0040721 Issued in NY
Legal business name
TERESA M BACH CARTHAGE FAMILY CHIROPRAC
Practice address
20284 County Route 45
Carthage, NY 13619-9502
Phone
(315) 493-0305
Fax
(315) 493-0305
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Teresa Mae Bach, D.C.NPI 1790802866
Title
Proprietor
Phone
(315) 493-0305

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 X0040721 NY Primary

Addresses

Primary practice location

20284 County Route 45
Carthage, NY 13619-9502

Mailing address

PO Box 70
Carthage, NY 13619-0070
Phone (315) 493-0305

Other identifiers 2

IdentifierTypeStateIssuer
CO40727OtherNYWORKER'S COMP/NO FAULT
5803321OtherNYGROUP HEALTH INSURANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104910967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136190070",
            "telephone_number": "315-493-0305",
            "fax_number": "315-493-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20284 COUNTY ROUTE 45",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199502",
            "telephone_number": "315-493-0305",
            "fax_number": "315-493-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA M BACH CARTHAGE FAMILY CHIROPRAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "315-493-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0040721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP/NO FAULT",
            "identifier": "CO40727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INSURANCE",
            "identifier": "5803321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.