Organization Active NPI

Healing Hands Chiropractic Center, PLLC

  • Health Maintenance Organization
  • Albany, NY
National Provider Identifier
1306389598
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
X0128751 Issued in NY
Legal business name
HEALING HANDS CHIROPRACTIC CENTER, PLLC
Practice address
1873 Western Ave
Suite 103
Albany, NY 12203-5028
Phone
(518) 869-8000
Fax
(518) 869-8009
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Jessica Marie Diamond, DCNPI 1306398425
Title
Owner/President/Provider
Phone
(518) 869-8000

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
Health Maintenance Organization 302R00000X X0128751 NY Primary

Addresses

Primary practice location

1873 Western Ave
Suite 103
Albany, NY 12203-5028

Mailing address

1873 Western Ave
Suite 103
Albany, NY 12203-5028
Phone (518) 869-8000

Other identifiers 1

IdentifierTypeStateIssuer
S2448797OtherBCBS

Other names 1

  • Kinkaid Family Chiropractic PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607001052 NY Part B Supplier - Clinic/Group Practice 9931477320 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

1873 Western Ave
Ste 103
Albany, NY 12203
Phone (518) 253-8230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1306389598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-869-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-869-8000",
            "fax_number": "518-869-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "518-869-8000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "X0128751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S2448797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinkaid Family Chiropractic PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.