Organization Active NPI

Total Chiropractic of North Syracuse PLLC

  • Chiropractor
  • North Syracuse, NY
National Provider Identifier
1225398167
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008688-1 Issued in NY
Legal business name
TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC
Practice address
451 S Main St
North Syracuse, NY 13212-2811
Phone
(315) 214-0404
Fax
(315) 214-0405
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. Scott Thomas Kozlowski, D.C.NPI 1043210529
Title
Owner /President
Phone
(315) 214-0404

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 X008688-1 NY Primary

Addresses

Primary practice location

451 S Main St
North Syracuse, NY 13212-2811

Mailing address

451 South Main Street
North Syracuse, NY 13212-2811
Phone (315) 214-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000142 NY Part B Supplier - Clinic/Group Practice 3173787850 Receives reassigned benefits from 1 practitioner
Practice locations: North Syracuse, NY

National Provider Directory

National Provider Directory

Locations

451 S Main St
Syracuse, NY 13212
Phone (315) 214-0404

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1225398167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SOUTH MAIN STREET",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122811",
            "telephone_number": "315-214-0404",
            "fax_number": "315-214-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122811",
            "telephone_number": "315-214-0404",
            "fax_number": "315-214-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CHIROPRACTIC OF NORTH SYRACUSE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "315-214-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008688-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.