Organization Active NPI

Lansing Chiropractic Office, PC

  • Chiropractor
  • Lansing, NY
National Provider Identifier
1174641435
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X03261 Issued in NY
Legal business name
LANSING CHIROPRACTIC OFFICE, PC
Practice address
15 Auburn Rd
Lansing, NY 14882-9093
Phone
(607) 533-4231
Fax
(607) 533-4232
NPI assigned
Mar 26, 2007
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Robert Brown, DCNPI 1164500195
Title
President
Phone
(607) 533-4231

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
Chiropractor 111N00000X X03261 NY Primary

Addresses

Primary practice location

15 Auburn Rd
Lansing, NY 14882-9093

Mailing address

15 Auburn Rd
Lansing, NY 14882-9093
Phone (607) 533-4231

Other identifiers 2

IdentifierTypeStateIssuer
CO32617OtherNYWORKERS' COMP
14067OtherNYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071016000153 NY Part B Supplier - Clinic/Group Practice 5092801449 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, NY

National Provider Directory

National Provider Directory

Locations

15 Auburn Rd
Lansing, NY 14882
Phone (607) 351-2761

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1174641435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148829093",
            "telephone_number": "607-533-4231",
            "fax_number": "607-533-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148829093",
            "telephone_number": "607-533-4231",
            "fax_number": "607-533-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING CHIROPRACTIC OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-533-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X03261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMP",
            "identifier": "CO32617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.