Organization Active NPI

Macnaughton Chiropractic, PLLC

Doing business as Back in Balance Health and Wellness Center

  • Chiropractor
  • Glen Falls, NY
National Provider Identifier
1508165580
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010161 Issued in NY
Legal business name
MACNAUGHTON CHIROPRACTIC, PLLC
Doing business as
Back in Balance Health and Wellness Center
Practice address
13 Chester Street
Glen Falls, NY 12801
Phone
(518) 223-0331
Fax
(518) 223-0331
NPI assigned
Mar 16, 2011
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Chad Macnaughton, D.C.NPI 1376625079
Title
Owner
Phone
(518) 223-0331

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 010161 NY
Chiropractor 111N00000X 010161 NY Primary

Addresses

Primary practice location

13 Chester Street
Glen Falls, NY 12801

Mailing address

13 Chester Street
Glen Falls, NY 12801
Phone (518) 223-0331

Other names 1

  • Back in Balance Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000952 NY Part B Supplier - Clinic/Group Practice 1355522657 Receives reassigned benefits from 2 practitioners
Practice locations: Glens Falls, NY; Queensbury, NY

National Provider Directory

National Provider Directory

Locations

19 Homer Ave
#B
Queensbury, NY 12804
Phone (518) 798-4322

19 Homer Ave
Ste B
Queensbury, NY 12804
Phone (518) 798-4322

5 Main St
Queensbury, NY 12804
Phone (518) 203-2593

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1508165580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CHESTER STREET",
            "city": "GLEN FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-223-0331",
            "fax_number": "518-223-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CHESTER STREET",
            "city": "GLEN FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-223-0331",
            "fax_number": "518-223-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACNAUGHTON CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "MACNAUGHTON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-223-0331",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "010161",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Balance Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.