Organization Active NPI

Whipple City Family Chiropractic

  • Chiropractor
  • Greenwich, NY
National Provider Identifier
1194011882
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010985 Issued in NY
Legal business name
WHIPPLE CITY FAMILY CHIROPRACTIC
Practice address
128 Main St
Greenwich, NY 12834-1215
Phone
(518) 692-8584
Fax
(518) 692-8597
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Tricia J Pasos, D.C.NPI 1013056852
Title
Partner/Provider
Phone
(518) 810-2045

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 010985 NY Primary

Addresses

Primary practice location

128 Main St
Greenwich, NY 12834-1215

Mailing address

128 Main St
Greenwich, NY 12834-1215
Phone (518) 692-8584

Other identifiers 2

IdentifierTypeStateIssuer
1013056852OtherNYINDIVIDUAL NPI
RA5568OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110729000509 NY Part B Supplier - Clinic/Group Practice 1951579317 Receives reassigned benefits from 3 practitioners
Practice locations: Greenwich, NY

National Provider Directory

National Provider Directory

Locations

128 Main St
Greenwich, NY 12834
Phone (518) 692-7537

69 Main St
Greenwich, NY 12834
Phone (518) 692-8584

Practitioners & affiliated clinicians

Practitioners 5

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1194011882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAIN ST",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128341215",
            "telephone_number": "518-692-8584",
            "fax_number": "518-692-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAIN ST",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128341215",
            "telephone_number": "518-692-8584",
            "fax_number": "518-692-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIPPLE CITY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "PASOS",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER/PROVIDER",
        "authorized_official_telephone_number": "518-810-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013056852",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RA5568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.