Hometown Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HOMETOWN CHIROPRACTIC, PLLC

Practice address

119 Main St Ste 2
Boonville, NY 13309-1385

Phone

(315) 358-4031

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn M Dennis

Title

Admin Assist/Credentialing Spec

Phone

(360) 554-8054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1124622790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST STE 2",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091385",
            "telephone_number": "315-358-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST STE 2",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091385",
            "telephone_number": "315-358-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN ASSIST/CREDENTIALING SPEC",
        "authorized_official_telephone_number": "360-554-8054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ehlinger, COTA
• Elizabeth Gleasman, NP
• Sarah Lynn Glouse, LPN
• Susan Elizabeth Gydesen, LCSW
• Alexis Hartmann, NP
• David Hoover, DC
• Michele L Kaun, RPH
• Tammy Kelly
• Carrie L Kittleman, LPN
• KND Development 59 LLC

• Chiropractor in Boonville, NY
• Providers in Boonville, NY by specialty
• Chiropractor in New York

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