Individual provider Active NPI

Michael Kiernan Collins

  • Chiropractor
  • Schenectady, NY
National Provider Identifier
1366404055
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008122-1 Issued in NY
Practice address
1304 Grand Blvd Ste 1
Schenectady, NY 12308-2614
Phone
(518) 374-4373
Fax
(518) 374-4691
NPI assigned
Apr 6, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008122-1 NY Primary

Addresses

Primary practice location

1304 Grand Blvd Ste 1
Schenectady, NY 12308-2614

Mailing address

1304 Grand Blvd Ste 1
Schenectady, NY 12308-2614
Phone (518) 374-4373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000345 NY Practitioner - Chiropractic 1254234396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Chiropractic, PCGroup PAC ID 7315840451, 2 clinicians

Practice addresses (Care Compare)

1304 Grand Blvd
Schenectady, NY 12308-2614
Phone (518) 374-4373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008122-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Chiropractic P.C Chiropractor CurrentSince May 13, 1996 Accepting new patients
Sarah M. Collins, DC., LLC Chiropractor Past Accepting new patients

Locations

1204 Nott St
Schenectady, NY 12308
Phone (518) 374-4373

1304 Grand Blvd
Schenectady, NY 12308
Phone (518) 374-4373

1304 Grand Blvd
#1
Schenectady, NY 12308
Phone (518) 374-4373

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1366404055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 GRAND BLVD STE 1",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082614",
            "telephone_number": "518-374-4373",
            "fax_number": "518-374-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 GRAND BLVD STE 1",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082614",
            "telephone_number": "518-374-4373",
            "fax_number": "518-374-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MICHAEL",
        "middle_name": "KIERNAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.