Incledon Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004715 Issued in NY

Legal business name

INCLEDON CHIROPRACTIC LLC

Practice address

997 Main St
Fishkill, NY 12524-1790

Phone

(845) 897-2402

Fax

(845) 897-2410

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Donald Incledon Jr., D.C.NPI 1326631896

Title

Single Member

Phone

(845) 897-2402

Specialties & licenses 1

Addresses

Other names 1

• Incledon John Single Member Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John D Incledon III, DC

  • Chiropractor
  • Fishkill, NY
  • NPI 1326631896
  NPD Authorized official

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1194976399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "845-897-2402",
            "fax_number": "845-897-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "845-897-2402",
            "fax_number": "845-897-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLEDON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "INCLEDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "845-897-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "004715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incledon John Single Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Iamarino
• Ident Dental at Fishkill
• Armon Imbriglio, PA
• Immediate Medical Health Care
• Imtiaz a. Mallick Physician P.C
• Incledon Chiropractic Office, PLLC
• John D Incledon III, DC
• Leandra Carmen Infante, LMSW
• Integrated Health Solutions, Inc.
• Lyssa Irizarry, MSPED

• Chiropractor in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.