Individual provider Active NPI

Nathan Harry Witkop, D.C.

  • Chiropractor
  • Malone, NY
National Provider Identifier
1215106208
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011523 Issued in NY
Practice address
9 Finney Blvd
Malone, NY 12953-1038
Phone
(518) 483-2804
Fax
(518) 483-2872
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011523 NY Primary

Addresses

Primary practice location

9 Finney Blvd
Malone, NY 12953-1038

Mailing address

9 Finney Blvd
Malone, NY 12953-1038
Phone (518) 483-2804

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
X011523NYMDChiropractor
011523NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Region Chiropractic PC Chiropractor PastSince Jun 1, 2001 Accepting new patients
Vanacker Chiropractic, PC Chiropractor PastSince Jan 20, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1215106208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FINNEY BLVD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531038",
            "telephone_number": "518-483-2804",
            "fax_number": "518-483-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FINNEY BLVD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531038",
            "telephone_number": "518-483-2804",
            "fax_number": "518-483-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOP",
        "first_name": "NATHAN",
        "middle_name": "HARRY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.