Active NPI
Light House Family Chiropractic, P.C.
- Chiropractor
- Oswego, NY
National Provider Identifier
1275917668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012423-1
- Legal business name
- LIGHT HOUSE FAMILY CHIROPRACTIC, P.C.
- Practice address
- 15 Bronson St
Oswego, NY 13126-1004 - Phone
- (315) 598-1187
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Titman, D.C.
- Title
- Chiropractor
- Phone
- (315) 402-6317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012423-1 | NY | Primary |
Addresses
Primary practice location
15 Bronson St
Oswego, NY 13126-1004
Mailing address
15 Bronson St
Oswego, NY 13126-1004
Phone (315) 598-1187
Other practice location 1
16 Canalview Mall
Fulton, NY 13069-1733
Phone (315) 402-6317
Other names 1
- Canalview Chiropractic, P.C.
National Provider Directory
National Provider DirectoryLocations
16 Canalview Mall
Fulton, NY 13069
Phone (315) 402-6317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1275917668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BRONSON ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261004",
"telephone_number": "315-598-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BRONSON ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261004",
"telephone_number": "315-598-1187"
}
],
"practiceLocations": [
{
"address_1": "16 Canalview Mall",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "NY",
"postal_code": "130691733",
"country_code": "US",
"telephone_number": "315-402-6317",
"fax_number": "315-592-7423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIGHT HOUSE FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-15",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "TITMAN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "315-402-6317",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X012423-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canalview Chiropractic, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.