Organization Active NPI

CMC Chiropractic, P.C.

  • Chiropractor
  • Liverpool, NY
National Provider Identifier
1417128281
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009967 Issued in NY
Legal business name
CMC CHIROPRACTIC, P.C.
Practice address
8134 Oswego Rd
Liverpool, NY 13090-1500
Phone
(315) 622-1500
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Fuyuko Ikehara Oddy, D.C.NPI 1396823027
Title
President
Phone
(315) 622-1500

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 009967 NY Primary

Addresses

Primary practice location

8134 Oswego Rd
Liverpool, NY 13090-1500

Mailing address

8134 Oswego Rd
Liverpool, NY 13090-1500
Phone (315) 622-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623000404 NY Part B Supplier - Clinic/Group Practice 3072558618 Receives reassigned benefits from 1 practitioner
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Locations

8134 Oswego Rd
Liverpool, NY 13090
Phone (315) 303-2082

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1417128281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-622-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-622-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "ODDY",
        "authorized_official_first_name": "FUYUKO",
        "authorized_official_middle_name": "IKEHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-622-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.