Active NPI
Andrew Hatalla, DC
- Chiropractor
- Cayuga, NY
National Provider Identifier
1528567153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013069-1
- Practice address
- 593A Clark Street Rd
Cayuga, NY 13034-2117 - Phone
- (315) 297-0376
- NPI assigned
- Feb 9, 2018
- Last updated
- Feb 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013069-1 | NY | Primary |
Addresses
Primary practice location
593A Clark Street Rd
Cayuga, NY 13034-2117
Mailing address
593A Clark Street Rd
Cayuga, NY 13034-2117
Phone (315) 297-0376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013069-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back at Em Chiropractic, PLCC | Chiropractor | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1528567153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593A CLARK STREET RD",
"city": "CAYUGA",
"state": "NY",
"postal_code": "130342117",
"telephone_number": "315-297-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593A CLARK STREET RD",
"city": "CAYUGA",
"state": "NY",
"postal_code": "130342117",
"telephone_number": "315-297-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATALLA",
"first_name": "ANDREW",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X013069-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayuga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.