Creekside Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X-011003 Issued in NY

Legal business name

CREEKSIDE CHIROPRACTIC P.C.

Practice address

50 William St
Whitehall, NY 12887-1318

Phone

(518) 824-1225

Fax

(518) 824-1244

NPI assigned

Sep 9, 2007

Last updated

Sep 9, 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. Tom Genstil, D.C.NPI 1033217468

Title

Chiropractor/Owner

Phone

(518) 824-1225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tom Genstil, D.C.

  • Nutrition Chiropractor
  • Whitehall, NY
  • NPI 1033217468
  Authorized official Same address or phone

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189296000000",
    "number": "1154516557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WILLIAM ST",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128871318",
            "telephone_number": "518-824-1225",
            "fax_number": "518-824-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WILLIAM ST",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128871318",
            "telephone_number": "518-824-1225",
            "fax_number": "518-824-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A",
        "authorized_official_last_name": "GENSTIL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "518-824-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-011003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessika Lynne Barlow, PHARMD
• Shaunna Beecher, PHARMD
• Christopher a Dudley
• Nora Eileen Colomb, RN
• Max Linus Crossman, MD
• Lauren Cummings
• CVS Albany LLC (CVS Pharmacy #05166)
• Rebecca Daumont, MSED
• Kerin McCarthy Devlin, FNP

• Chiropractor in Whitehall, NY
• Providers in Whitehall, 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 9, 2007; 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.