Individual provider Active NPI

Timothy David Talmage, DC

  • Chiropractor
  • Delmar, NY
National Provider Identifier
1487718599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009205 Issued in NY
Practice address
204 Delaware Avenue
Delmar, NY 12054-1227
Phone
(518) 439-7644
Fax
(518) 439-0191
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009205 NY Primary

Addresses

Primary practice location

204 Delaware Avenue
Delmar, NY 12054-1227

Mailing address

29 Burhans Place
Delmar, NY 12054
Phone (518) 475-9351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000070 NY Practitioner - Chiropractic 2163689118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Delmar Chiropractic Office PCGroup PAC ID 4880630334, 3 clinicians

Practice addresses (Care Compare)

204 Delaware Ave
Delmar, NY 12054-1227
Phone (518) 439-7644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009205NYMDMental Health Counselor
X009205NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delmar Chiropractic Office, P.C. Chiropractor CurrentSince Jan 18, 1999 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487718599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BURHANS PLACE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "518-475-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DELAWARE AVENUE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541227",
            "telephone_number": "518-439-7644",
            "fax_number": "518-439-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMAGE",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.