Central Square Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010102-1 Issued in NY

Legal business name

CENTRAL SQUARE FAMILY CHIROPRACTIC, PC

Practice address

3045 East Ave
Central Square, NY 13036-9502

Phone

(315) 668-3248

Fax

(315) 676-3796

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel P Walsh, DCNPI 1841390689

Title

Doctor

Phone

(315) 668-3248

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Patrick Walsh, DC

  • Chiropractor
  • Central Square, NY
  • NPI 1841390689
  Medicare reassignment Authorized official
• Joshua Evan Prior, DC

  • Chiropractor
  • Lansdale, PA
  • NPI 1518160357
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1114113230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130360893",
            "telephone_number": "315-668-3248",
            "fax_number": "315-676-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 EAST AVE",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369502",
            "telephone_number": "315-668-3248",
            "fax_number": "315-676-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SQUARE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "315-668-3248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010102-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7455427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5323798",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897918",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "NY10102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10770520",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL CARE",
            "identifier": "NY10102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P-11213126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMSCO",
            "identifier": "X010102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Amy Bronner
• Rita Marie Burton, LPN
• Olessia Xenia Butenko, OD
• Central Square Central School District
• Central Square Dental Associates
• Central Square Smiles Dentistry
• Anton Chertkovsky, PA
• Childers Professional Service LLC
• F. Diane Cloyd, RN
• Cltoperations, LLC (A Touch Above)

• Chiropractor in Central Square, NY
• Providers in Central Square, 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 21, 2007; 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.