Active NPI
Stone Ridge Chiropractic, PC
- Chiropractor
- Stone Ridge, NY
National Provider Identifier
1346532090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008548
- Legal business name
- STONE RIDGE CHIROPRACTIC, PC
- Practice address
- 3631 Main Street
Stoneridge, NY 12484 - Phone
- (845) 687-0088
- Fax
- (845) 687-0089
- NPI assigned
- May 12, 2011
- Last updated
- Jun 16, 2011
- 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. Timothy Edward Deschenes, D.C.
- Title
- Owner
- Phone
- (845) 687-0088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008548 | NY | Primary |
Addresses
Primary practice location
3631 Main Street
Stoneridge, NY 12484
Mailing address
PO Box 514
Stone Ridge, NY 12484-0514
Phone (845) 687-0088
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Stone Ridge, NY
- NPI 1902897242
-
- Acupuncturist
- Stone Ridge, NY
- NPI 1689879066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308182400000",
"number": "1346532090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 514",
"city": "STONE RIDGE",
"state": "NY",
"postal_code": "124840514",
"telephone_number": "845-687-0088",
"fax_number": "845-687-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 MAIN STREET",
"city": "STONERIDGE",
"state": "NY",
"postal_code": "12484",
"telephone_number": "845-687-0088",
"fax_number": "845-687-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE RIDGE CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-12",
"last_updated": "2011-06-16",
"status": "A",
"authorized_official_last_name": "DESCHENES",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-687-0088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X008548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.