Organization Active NPI

Family Chiropractic Care, PC

  • Chiropractor
  • Watertown, NY
National Provider Identifier
1528015377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010578 Issued in NY
Legal business name
FAMILY CHIROPRACTIC CARE, PC
Practice address
24304 Nys Rte 37
Watertown, NY 13601-5870
Phone
(315) 785-9588
Fax
(315) 786-3099
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sam Vassallo, DCNPI 1205877867
Title
President
Phone
(315) 785-9588

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
Chiropractor 111N00000X X010578 NY Primary

Addresses

Primary practice location

24304 Nys Rte 37
Watertown, NY 13601-5870

Mailing address

24304 Nys Rte 37
Watertown, NY 13601-5870
Phone (315) 785-9588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000097 NY Part B Supplier - Clinic/Group Practice 1254343346 Receives reassigned benefits from 2 practitioners
Practice locations: Watertown, NY

National Provider Directory

National Provider Directory

Locations

24304 State Route 37
Watertown, NY 13601
Phone (315) 782-3138

Practitioners & affiliated clinicians

Practitioners 6

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528015377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24304 NYS RTE 37",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015870",
            "telephone_number": "315-785-9588",
            "fax_number": "315-786-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24304 NYS RTE 37",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015870",
            "telephone_number": "315-785-9588",
            "fax_number": "315-786-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASSALLO",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-785-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.