Back to the Future Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008108 Issued in NY

Legal business name

BACK TO THE FUTURE CHIROPRACTIC

Practice address

7687 Frontage Rd
Inside Champions Fitness Center
Cicero, NY 13039-8742

Phone

(315) 863-3316

Fax

(315) 452-5971

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent J Scalisi, D.C.

Title

Owner

Phone

(315) 863-3316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1205146388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 FRONTAGE RD",
            "address_2": "INSIDE CHAMPIONS FITNESS CENTER",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398742",
            "telephone_number": "315-863-3316",
            "fax_number": "315-452-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 FRONTAGE RD",
            "address_2": "INSIDE CHAMPIONS FITNESS CENTER",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398742",
            "telephone_number": "315-863-3316",
            "fax_number": "315-452-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO THE FUTURE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "SCALISI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-863-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.