Active NPI
Andrew Edmund West, D.C.
- Chiropractor
- Champlain, NY
National Provider Identifier
1619970209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007066
- Practice address
- 333 State Route 11
Champlain, NY 12919-4817 - Phone
- (518) 297-2723
- Fax
- (518) 297-3364
- NPI assigned
- May 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007066 | NY | Primary |
| Chiropractor | 111N00000X | 006.0070788 | VT |
Addresses
Primary practice location
333 State Route 11
Champlain, NY 12919-4817
Mailing address
PO Box 3176
Champlain, NY 12919-3176
Phone (518) 297-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110505000226 | VT | Practitioner - Chiropractic | 9739364803 | Practice locations: Swanton, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Canada St
Swanton, VT 05488-1366
Swanton Chiropratctic
19 Canada St
Swanton, VT 05488-1366
Phone (802) 868-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007066 | NY | MD | Acupuncturist |
| 007066-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1619970209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3176",
"city": "CHAMPLAIN",
"state": "NY",
"postal_code": "129193176",
"telephone_number": "518-297-2723",
"fax_number": "518-297-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 STATE ROUTE 11",
"city": "CHAMPLAIN",
"state": "NY",
"postal_code": "129194817",
"telephone_number": "518-297-2723",
"fax_number": "518-297-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "ANDREW",
"middle_name": "EDMUND",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "007066",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "006.0070788",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champlain, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.