Organization Active NPI

Upstate Chiropractic Health Center

  • Neurology Chiropractor
  • Rome, NY
National Provider Identifier
1356510374
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
X008342 Issued in NY
Legal business name
UPSTATE CHIROPRACTIC HEALTH CENTER
Practice address
117 W Liberty St
Rome, NY 13440-5758
Phone
(315) 339-2422
Fax
(315) 338-0924
NPI assigned
Feb 24, 2008
Last updated
Feb 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Authorized official

Name
Thomas J Culleton, DC
Title
Partner
Phone
(315) 339-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X008342 NY Primary

Addresses

Primary practice location

117 W Liberty St
Rome, NY 13440-5758

Mailing address

117 W Liberty St
Rome, NY 13440-5758
Phone (315) 339-2422

Other identifiers 1

IdentifierTypeStateIssuer
56189AOtherNYMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203811200000",
    "number": "1356510374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W LIBERTY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405758",
            "telephone_number": "315-339-2422",
            "fax_number": "315-338-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W LIBERTY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405758",
            "telephone_number": "315-339-2422",
            "fax_number": "315-338-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-02-24",
        "status": "A",
        "authorized_official_last_name": "CULLETON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-339-2422",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X008342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "56189A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.