Organization Active NPI

Thomas M. Lafountain Chiropractic

  • Orthopedic Chiropractor
  • Utica, NY
National Provider Identifier
1518094200
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
X003195 Issued in NY
Legal business name
THOMAS M. LAFOUNTAIN CHIROPRACTIC
Practice address
130 Lomond CT
Utica, NY 13502-5951
Phone
(315) 732-3400
Fax
(315) 732-4250
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Thomas Michael Lafountain, D.C.
Title
Chiropractor
Phone
(315) 732-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X X003195 NY Primary

Addresses

Primary practice location

130 Lomond CT
Utica, NY 13502-5951

Mailing address

130 Lomond CT
Utica, NY 13502-5951
Phone (315) 732-3400

Other identifiers 4

IdentifierTypeStateIssuer
0142707OtherGHI PROVIDER NUMBER
1992724207OtherNPI INDIVIDUAL IDENTIFIER
10032541OtherCDPHP PROVIDER NUMBER
P010003195OtherBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1518094200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LOMOND CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025951",
            "telephone_number": "315-732-3400",
            "fax_number": "315-732-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOMOND CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025951",
            "telephone_number": "315-732-3400",
            "fax_number": "315-732-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. LAFOUNTAIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "LAFOUNTAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "315-732-3400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X003195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "0142707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL IDENTIFIER",
            "identifier": "1992724207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER NUMBER",
            "identifier": "10032541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "P010003195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.