Organization Active NPI

Tompkins Community Chiropractic, P.C.

  • Clinic/Center
  • Ithaca, NY
National Provider Identifier
1508028416
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
X005048 Issued in NY
Legal business name
TOMPKINS COMMUNITY CHIROPRACTIC, P.C.
Practice address
435 Franklin St
Suite 206
Ithaca, NY 14850-3570
Phone
(607) 257-6217
Fax
(607) 257-6847
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Randall H. Corey, D.C.NPI 1093781791
Title
Chiropractor
Phone
(607) 257-6217

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
Clinic/Center 261Q00000X X005048 NY Primary

Addresses

Primary practice location

435 Franklin St
Suite 206
Ithaca, NY 14850-3570

Mailing address

435 Franklin St
Suite 206
Ithaca, NY 14850-3570
Phone (607) 257-6217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001078 NY Part B Supplier - Clinic/Group Practice 5294729729 Receives reassigned benefits from 1 practitioner
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

435 Franklin St
Ithaca, NY 14850
Phone (607) 257-6217

435 Franklin St
Ste 206
Ithaca, NY 14850
Phone (607) 257-6217

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": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1508028416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FRANKLIN ST",
            "address_2": "SUITE 206",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503570",
            "telephone_number": "607-257-6217",
            "fax_number": "607-257-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FRANKLIN ST",
            "address_2": "SUITE 206",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503570",
            "telephone_number": "607-257-6217",
            "fax_number": "607-257-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINS COMMUNITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "607-257-6217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "X005048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.