Organization Active NPI

John Graham DC PC

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1255510616
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-2183 Issued in NY
Legal business name
JOHN GRAHAM DC PC
Practice address
21 Executive Park Dr
Clifton Park, NY 12065-8651
Phone
(518) 371-5422
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. John Graham, CHIROPRACTORNPI 1790893048
Title
Ceo
Phone
(518) 371-5422

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
Chiropractor 111N00000X X-2183 NY Primary

Addresses

Primary practice location

21 Executive Park Dr
Clifton Park, NY 12065-8651

Mailing address

21 Executive Park Dr
Clifton Park, NY 12065-8651
Phone (518) 371-5422

National Provider Directory

National Provider Directory

Locations

21 Executive Park Dr
Halfmoon, NY 12065
Phone (518) 371-5422

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1255510616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EXECUTIVE PARK DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658651",
            "telephone_number": "518-371-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EXECUTIVE PARK DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658651",
            "telephone_number": "518-371-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GRAHAM DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-371-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-2183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.