Organization Active NPI

Mountain Chiropractic, P.C

  • Chiropractor
  • Herkimer, NY
National Provider Identifier
1306575907
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUNTAIN CHIROPRACTIC, P.C
Practice address
419 N Main St
Herkimer, NY 13350-1925
Phone
(315) 866-1113
Fax
(315) 574-1698
NPI assigned
Jun 8, 2022
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Amanda Montagna, DCNPI 1376132654
Title
Owner
Phone
(315) 866-1113

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

419 N Main St
Herkimer, NY 13350-1925

Mailing address

1660 Champlin Avenue
New Hartford, NY 13413-1067
Phone (315) 797-1908

Other practice location 1

1660 Champlin Avenue
New Hartford, NY 13413-1067
Phone (315) 797-1908

Other names 1

  • Realm Chiropractic of Herkimer, P.C Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812002131 NY Part B Supplier - Clinic/Group Practice 1254714967 Receives reassigned benefits from 2 practitioners
Practice locations: Herkimer, NY; New Hartford, NY; Utica, NY

National Provider Directory

National Provider Directory

Locations

1660 Champlin Ave
New Hartford, NY 13413

2709 Genesee St
Utica, NY 13501
Phone (315) 797-1908

2709 Genesee St
#1
Utica, NY 13501
Phone (315) 797-1908

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1306575907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHAMPLIN AVENUE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131067",
            "telephone_number": "315-797-1908",
            "fax_number": "315-797-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N MAIN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501925",
            "telephone_number": "315-866-1113",
            "fax_number": "315-574-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Champlin Avenue",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131067",
            "country_code": "US",
            "telephone_number": "315-797-1908",
            "fax_number": "315-797-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN CHIROPRACTIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MONTAGNA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-866-1113",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realm Chiropractic of Herkimer, P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.