Active and Well Family Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE AND WELL FAMILY CHIROPRACTIC, PLLC

Practice address

131 E State St
Gloversville, NY 12078-1205

Phone

(518) 725-9355

Fax

(518) 725-9365

NPI assigned

Sep 13, 2010

Last updated

Sep 13, 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

Lisa Campione, D.C.

Title

Owner/Chiropractor

Phone

(518) 705-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Lisa Groff, D.C.

  • Chiropractor
  • Gloversville, NY
  • NPI 1093776189
  Medicare reassignment NPD

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1265749204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781205",
            "telephone_number": "518-725-9355",
            "fax_number": "518-725-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781205",
            "telephone_number": "518-725-9355",
            "fax_number": "518-725-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AND WELL FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "CAMPIONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "518-705-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Abbaticchio, LMSW
• Brittney Anne Abbott
• Lynn Marie Abrams, LPN
• Mariela J Abreu
• Adirondack Chiropractic PC
• Adirondack Drug Inc (Delnegro Pharmacy)
• Adirondack Stretcher and Ambulette, LLC
• Cassandra May Aiken, MA
• Lisa Albright

• Chiropractor in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.