Organization Active NPI

Onondaga Hill Chiropractic PLLC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1326239211
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007292 Issued in NY
Legal business name
ONONDAGA HILL CHIROPRACTIC PLLC
Practice address
4525 W Seneca Tpke
Syracuse, NY 13215
Phone
(315) 469-7791
Fax
(315) 469-4073
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mr. Leonard M Ancone, DCNPI 1922195932
Title
DC Owner
Phone
(315) 469-7791

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
Chiropractor 111N00000X X007292 NY Primary

Addresses

Primary practice location

4525 W Seneca Tpke
Syracuse, NY 13215

Mailing address

4525 West Seneca Turnpike
Syracuse, NY 13215
Phone (315) 469-7791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000238 NY Part B Supplier - Clinic/Group Practice 2668647256 Receives reassigned benefits from 1 practitioner
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

4525 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-7791

Practitioners & affiliated clinicians

Practitioners 1

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1326239211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WEST SENECA TURNPIKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-469-7791",
            "fax_number": "315-469-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W SENECA TPKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-469-7791",
            "fax_number": "315-469-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA HILL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "ANCONE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "315-469-7791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.