Active NPI
Joseph James Upton, D.C.
- Chiropractor
- Woodside, NY
National Provider Identifier
1467520312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006116
- Practice address
- 5718 Woodside Ave
Suite B102
Woodside, NY 11377-3444 - Phone
- (718) 651-8410
- Fax
- (718) 651-8568
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006116 | NY | Primary |
Addresses
Primary practice location
5718 Woodside Ave
Suite B102
Woodside, NY 11377-3444
Mailing address
5718 Woodside Ave
Suite B102
Woodside, NY 11377-3444
Phone (718) 651-8410
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052266 | Other | NY | GHI NO. |
| 01898140 | Medicaid | NY | |
| X59611 | Other | NY | BCBS NO. |
| P424398 | Other | NY | OXFORD NO. |
| C0-6116-0 | Other | NY | WORKERS' COMPENSATION NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006116 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467520312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 WOODSIDE AVE",
"address_2": "SUITE B102",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773444",
"telephone_number": "718-651-8410",
"fax_number": "718-651-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 WOODSIDE AVE",
"address_2": "SUITE B102",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773444",
"telephone_number": "718-651-8410",
"fax_number": "718-651-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI NO.",
"identifier": "0052266",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01898140",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NO.",
"identifier": "X59611",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD NO.",
"identifier": "P424398",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION NO.",
"identifier": "C0-6116-0",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.