Active NPI
Kirsten Hamilton Degonzague, DC
- Chiropractor
- Albany, NY
National Provider Identifier
1164510913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009755-1
- Practice address
- 344 Fuller Rd
Inner Balance Chiropractic
Albany, NY 12203-3647 - Phone
- (518) 482-2003
- Fax
- (518) 482-2087
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009755-1 | NY | Primary |
Addresses
Primary practice location
344 Fuller Rd
Inner Balance Chiropractic
Albany, NY 12203-3647
Mailing address
44 Swartson CT
Albany, NY 12209-1237
Phone (518) 489-0963
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10095460 | Other | NY | CDPHP PROVIDER NUMBER |
| CO9755-2 | Other | NY | WORKER COMP |
Other names 1
- Kirsten Ann Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009755-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niskayuna Life Chiropractic | Chiropractor | Past | Accepting new patients |
| Inner Balance Chiropractic | Chiropractor | Past | Accepting new patients |
| The Ideal U, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Albany, NY
- NPI 1831314715
-
- Chiropractor
- Niskayuna, NY
- NPI 1174704449
-
- Diabetes Educator Registered Nurse
- Albany, NY
- NPI 1548630395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1164510913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SWARTSON CT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091237",
"telephone_number": "518-489-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 FULLER RD",
"address_2": "INNER BALANCE CHIROPRACTIC",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033647",
"telephone_number": "518-482-2003",
"fax_number": "518-482-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGONZAGUE",
"first_name": "KIRSTEN",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009755-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP PROVIDER NUMBER",
"identifier": "10095460",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER COMP",
"identifier": "CO9755-2",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "HAMILTON",
"middle_name": "ANN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.