Organization Active NPI

Specific Chiropractic, P.C.

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1124249776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006734 Issued in NY
Legal business name
SPECIFIC CHIROPRACTIC, P.C.
Practice address
1673 Route 9
Clifton Park, NY 12065-4397
Phone
(518) 373-1833
Fax
(518) 371-3939
NPI assigned
May 1, 2007
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. Craig R Wehrenberg, D.C.NPI 1356474282
Title
Vice President
Phone
(518) 373-1833

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 006734 NY Primary

Addresses

Primary practice location

1673 Route 9
Clifton Park, NY 12065-4397

Mailing address

1673 Route 9
Clifton Park, NY 12065-4397
Phone (518) 373-1833

National Provider Directory

National Provider Directory

Locations

1770 Route 9
Ste 100
Halfmoon, NY 12065
Phone (518) 383-9000

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124249776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654397",
            "telephone_number": "518-373-1833",
            "fax_number": "518-371-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654397",
            "telephone_number": "518-373-1833",
            "fax_number": "518-371-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEHRENBERG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "518-373-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "006734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, 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.