Organization Active NPI

Adirondack Family Chiropractic PC

  • Chiropractor
  • Plattsburgh, NY
National Provider Identifier
1558455485
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005051-1 Issued in NY
Legal business name
ADIRONDACK FAMILY CHIROPRACTIC PC
Practice address
148 Margaret St
Plattsburgh, NY 12901-1838
Phone
(518) 561-6004
Fax
(518) 561-0357
NPI assigned
Oct 3, 2006
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Carolyn F Clauss, D.C.NPI 1851472518
Title
Chiropractor
Phone
(518) 561-6004

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 X005051-1 NY Primary

Addresses

Primary practice location

148 Margaret St
Plattsburgh, NY 12901-1838

Mailing address

PO Box 3046
Plattsburgh, NY 12901-0298
Phone (518) 561-6004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000220 NY Part B Supplier - Clinic/Group Practice 5092736165 Receives reassigned benefits from 2 practitioners
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory

Locations

148 Margaret St
Plattsburgh, NY 12901
Phone (518) 561-6004

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1558455485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010298",
            "telephone_number": "518-561-6004",
            "fax_number": "518-561-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011838",
            "telephone_number": "518-561-6004",
            "fax_number": "518-561-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "518-561-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.