Individual provider Active NPI

Otto J Janke, DC

  • Chiropractor
  • Cortland, NY
National Provider Identifier
1194898742
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007278-1 Issued in NY
Practice address
277 Tompkins St
Cortland, NY 13045-3453
Phone
(607) 662-0582
Fax
(607) 662-0648
NPI assigned
Nov 15, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007278-1 NY Primary

Addresses

Primary practice location

277 Tompkins St
Cortland, NY 13045-3453

Mailing address

277 Tompkins St
Cortland, NY 13045-3453
Phone (607) 662-0582

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

LicenseStateTypeSpecialty
X007278-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janke Family Chiropractic Chiropractor Current Accepting new patients
Cortland Audiology, PC PastSince Sep 12, 2011 Accepting new patients

Locations

277 Tompkins St
Cortland, NY 13045
Phone (607) 662-0582

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1194898742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453453",
            "telephone_number": "607-662-0582",
            "fax_number": "607-662-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453453",
            "telephone_number": "607-662-0582",
            "fax_number": "607-662-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "OTTO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.