NPIMap

Organization Active NPI

Alise Chiropractic Health & Wellness, PLLC

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1578736385
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011015-1 Issued in NY
Legal business name
ALISE CHIROPRACTIC HEALTH & WELLNESS, PLLC
Practice address
821 Cliff St
Ithaca, NY 14850-2097
Phone
(607) 227-2623
Fax
(833) 803-3431
NPI assigned
Apr 12, 2008
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Dr. James N. Alise, DCNPI 1700985579
Title
Doctor/Owner
Phone
(607) 227-2623

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 X011015-1 NY Primary

Addresses

Primary practice location

821 Cliff St
Ithaca, NY 14850-2097

Mailing address

104 Haller Blvd
Ithaca, NY 14850-3030
Phone (607) 227-2623

Other practice location 1

217 Commercial Ave
Suite 4
Ithaca, NY 14850-5118
Phone (607) 227-2623

Other practice location 2

402 3rd St Ste 2
Ithaca, NY 14850-3484
Phone (607) 227-2623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000494 NY Part B Supplier - Clinic/Group Practice 0143257451 Receives reassigned benefits from 1 practitioner
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

217 Commercial Ave
Ste 4
Ithaca, NY 14850
Phone (607) 227-2623

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1578736385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HALLER BLVD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503030",
            "telephone_number": "607-227-2623",
            "fax_number": "833-803-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CLIFF ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502097",
            "telephone_number": "607-227-2623",
            "fax_number": "833-803-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Commercial Ave",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505118",
            "country_code": "US",
            "telephone_number": "607-227-2623",
            "fax_number": "607-227-2623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 3rd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148503484",
            "country_code": "US",
            "telephone_number": "607-227-2623",
            "fax_number": "607-273-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALISE CHIROPRACTIC HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "ALISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "607-227-2623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.