Organization Active NPI

Cayuga Chiropractic and Wellness Center

  • Health Maintenance Organization
  • Trumansburg, NY
National Provider Identifier
1174817191
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
011988 Issued in NY
Legal business name
CAYUGA CHIROPRACTIC AND WELLNESS CENTER
Practice address
203 E Main St
Trumansburg, NY 14886-8908
Phone
(607) 387-5771
Fax
(607) 387-3000
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Jessica Lynn Jordan, D.C.NPI 1144409053
Title
Doctor/Owner
Phone
(607) 387-5771

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
Health Maintenance Organization 302R00000X 011988 NY Primary

Addresses

Primary practice location

203 E Main St
Trumansburg, NY 14886-8908

Mailing address

203 E Main St
P.O. Box 1057
Trumansburg, NY 14886-8908
Phone (607) 387-5771

National Provider Directory

National Provider Directory

Locations

203 E Main St
Trumansburg, NY 14886
Phone (347) 213-7076

Practitioners & affiliated clinicians

Practitioners 1

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1174817191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "address_2": "P.O. BOX 1057",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148868908",
            "telephone_number": "607-387-5771",
            "fax_number": "607-387-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148868908",
            "telephone_number": "607-387-5771",
            "fax_number": "607-387-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "607-387-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "011988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.