Phoenix Mills Chiropractic Center PC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

X003148 Issued in NY

Legal business name

PHOENIX MILLS CHIROPRACTIC CENTER PC

Practice address

2 Coulter Rd
Clifton Springs, NY 14432-1122

Phone

(315) 462-0390

Fax

(315) 462-7784

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael James O'Connor, DC

Title

Owner

Phone

(585) 576-0762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1275703324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LITTLE DOE RUN",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508930",
            "telephone_number": "585-576-0762",
            "fax_number": "585-425-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-0390",
            "fax_number": "315-462-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MILLS CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-576-0762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X003148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phelps Clifton Springs Central School District
• Phelps Clifton Springs School District
• Phelps-Clifton Springs Central School District
• Phelps-Clifton Springs Central School District
• Sarah Elizabeth Phillips, PHARMD
• Patrick Paul Plucinik, PHARM.D.
• John Alfred Porter, M.D.
• Sheryl Lyn Prater, NP
• Professional Choice, Inc.
• Dan P Qantaqua

• Orthopedic Chiropractor in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Orthopedic Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.