Organization Active NPI

James T. Lefebvre DC, PLLC

  • Chiropractor
  • Waterford, NY
National Provider Identifier
1225229875
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005784-1 Issued in NY
Legal business name
JAMES T. LEFEBVRE DC, PLLC
Practice address
20 Saratoga Ave
Waterford, NY 12188-2615
Phone
(518) 237-9485
Fax
(518) 237-4608
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. James T LefebvreNPI 1790783678
Title
Doctor of Chiropractic
Phone
(518) 237-9485

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X005784-1 NY Primary

Addresses

Primary practice location

20 Saratoga Ave
Waterford, NY 12188-2615

Mailing address

20 Saratoga Ave
Waterford, NY 12188-2615
Phone (518) 237-9485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000241 NY Part B Supplier - Clinic/Group Practice 9537256896 Receives reassigned benefits from 1 practitioner
Practice locations: Waterford, NY

National Provider Directory

National Provider Directory

Locations

20 Saratoga Ave
Waterford, NY 12188
Phone (518) 237-9485

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1225229875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SARATOGA AVE",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882615",
            "telephone_number": "518-237-9485",
            "fax_number": "518-237-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SARATOGA AVE",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882615",
            "telephone_number": "518-237-9485",
            "fax_number": "518-237-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T. LEFEBVRE DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LEFEBVRE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "518-237-9485",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005784-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.