Active NPI
Glenmont Chiropractic Office, PLLC
- Chiropractor
- Glenmont, NY
National Provider Identifier
1386862472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007718
- Legal business name
- GLENMONT CHIROPRACTIC OFFICE, PLLC
- Practice address
- 398 Feura Bush Rd
Glenmont, NY 12077-2954 - Phone
- (518) 449-3071
- NPI assigned
- Apr 23, 2007
- 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
- Jeffrey Riker, D.C.
- Title
- Owner
- Phone
- (518) 449-3071
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007718 | NY | Primary |
Addresses
Primary practice location
398 Feura Bush Rd
Glenmont, NY 12077-2954
Mailing address
398 Feura Bush Rd
Glenmont, NY 12077-2954
Phone (518) 449-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA1681 | Other | NY | MEDICARE ORGANIZATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16 Hope Plz
West Coxsackie, NY 12192
Phone (518) 449-3071
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Glenmont, NY
- NPI 1477525137
-
- Specialist
- Long Beach, CA
- NPI 1003840018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1386862472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 FEURA BUSH RD",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772954",
"telephone_number": "518-449-3071",
"fax_number": "518-449-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 FEURA BUSH RD",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772954",
"telephone_number": "518-449-3071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENMONT CHIROPRACTIC OFFICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "RIKER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-449-3071",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X007718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ORGANIZATION",
"identifier": "AA1681",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.