Individual provider Active NPI

Nicholas John Patterson, DC

  • Chiropractor
  • Halfmoon, NY
National Provider Identifier
1598061137
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012126 Issued in NY
Practice address
11C Solar Dr
Halfmoon, NY 12065-3402
Phone
(518) 348-0287
NPI assigned
Jan 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012126 NY Primary

Addresses

Primary practice location

11C Solar Dr
Halfmoon, NY 12065-3402

Mailing address

11C Solar Dr
Halfmoon, NY 12065-3402
Phone (518) 348-0287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000422 NY Practitioner - Chiropractic 6608035647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Dig Deep Chiropractic and Massage Therapy PLLCGroup PAC ID 8527334101, 2 clinicians

Practice addresses (Care Compare)

3 Johnson Rd
Suite 1
Latham, NY 12110-3051
Phone 51828904083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012126NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dig Deep Chiropractic & Massage Therapy, PLLC Chiropractor CurrentSince Sep 16, 2017 Accepting new patients

Locations

11C Solar Dr
Halfmoon, NY 12065
Phone (518) 348-0287

3 Johnson Rd
Ste 1
Latham, NY 12110
Phone (518) 289-0408

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1598061137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11C SOLAR DR",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653402",
            "telephone_number": "518-348-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11C SOLAR DR",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653402",
            "telephone_number": "518-348-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-30",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.