Organization Active NPI

Integral Chiropractic, P.C.

  • Chiropractor
  • Highland, NY
National Provider Identifier
1407905722
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005615-1 Issued in NY
Legal business name
INTEGRAL CHIROPRACTIC, P.C.
Practice address
652 Route 299 Ste 202
Highland, NY 12528-2926
Phone
(845) 255-3300
Fax
(845) 255-4220
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
David Lester, D.C.NPI 1225023880
Title
President
Phone
(845) 255-3300

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X005615-1 NY Primary

Addresses

Primary practice location

652 Route 299 Ste 202
Highland, NY 12528-2926

Mailing address

652 Route 299 Ste 202
Highland, NY 12528-2926
Phone (845) 255-3300

Other practice location 1

3 Paradies Ln
New Paltz, NY 12561-4017
Phone (845) 255-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000004 NY Part B Supplier - Clinic/Group Practice 3173539418 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, NY

National Provider Directory

National Provider Directory

Locations

652 State Route 299
Ste 202
Highland, NY 12528
Phone (845) 255-3300

3 Paradies Ln
New Paltz, NY 12561
Phone (845) 255-3300

Practitioners & affiliated clinicians

Practitioners 6

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1407905722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 ROUTE 299 STE 202",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282926",
            "telephone_number": "845-255-3300",
            "fax_number": "845-255-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 ROUTE 299 STE 202",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282926",
            "telephone_number": "845-255-3300",
            "fax_number": "845-255-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Paradies Ln",
            "address_purpose": "LOCATION",
            "city": "New Paltz",
            "state": "NY",
            "postal_code": "125614017",
            "country_code": "US",
            "telephone_number": "845-255-3300",
            "fax_number": "845-255-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRAL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-255-3300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005615-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.

Verify at the official NPI Registry.