Organization Active NPI

Ballston Chiropractic Office, PC

  • Chiropractor
  • Ballston Spa, NY
National Provider Identifier
1134429434
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0006175-1 Issued in NY
Legal business name
BALLSTON CHIROPRACTIC OFFICE, PC
Practice address
76 Greenfield Ave
Ballston Spa, NY 12020-2423
Phone
(518) 885-5544
Fax
(518) 885-7283
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Robert Block, DCNPI 1447301049
Title
VP
Phone
(518) 885-5544

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 X0006175-1 NY Primary

Addresses

Primary practice location

76 Greenfield Ave
Ballston Spa, NY 12020-2423

Mailing address

76 Greenfield Ave
Ballston Spa, NY 12020-2423
Phone (518) 885-5544

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1134429434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423",
            "telephone_number": "518-885-5544",
            "fax_number": "518-885-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423",
            "telephone_number": "518-885-5544",
            "fax_number": "518-885-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLSTON CHIROPRACTIC OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "518-885-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0006175-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.