Organization Active NPI

Light House Family Chiropractic, P.C.

  • Chiropractor
  • Oswego, NY
National Provider Identifier
1275917668
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012423-1 Issued in NY
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

Updated by the provider on Aug 12, 2025

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.