NPIMap

Organization Active NPI

Stone Ridge Chiropractic, PC

  • Chiropractor
  • Stoneridge, NY
National Provider Identifier
1346532090
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008548 Issued in NY
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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": []
}

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.

Verify at the official NPI Registry.