Organization Active NPI

John M. Edwards, D.C., P.C.

  • Chiropractor
  • Castleton on Hudson, NY
National Provider Identifier
1457547689
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1266 Issued in NY
Legal business name
JOHN M. EDWARDS, D.C., P.C.
Practice address
1542 Columbia Tpke
Castleton on Hudson, NY 12033-9545
Phone
(518) 477-4405
Fax
(518) 477-2216
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. John M Edwards, D.C.
Title
President
Phone
(518) 477-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1266 NY Primary

Addresses

Primary practice location

1542 Columbia Tpke
Castleton on Hudson, NY 12033-9545

Mailing address

1542 Columbia Tpke
Castleton on Hudson, NY 12033-9545
Phone (518) 477-4405

Other names 1

  • Edwards Chiropractic Office Doing business as

National Provider Directory

National Provider Directory

Locations

1542 Columbia Tpke
Castleton on Hudson, NY 12033
Phone (518) 477-4405

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1457547689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 COLUMBIA TPKE",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339545",
            "telephone_number": "518-477-4405",
            "fax_number": "518-477-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 COLUMBIA TPKE",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339545",
            "telephone_number": "518-477-4405",
            "fax_number": "518-477-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. EDWARDS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-477-4405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castleton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.