Active NPI
Madeline J Hildreth, DC
- Chiropractor
- Lagrangeville, NY
National Provider Identifier
1629175690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7919
- Practice address
- 1145 State Route 55
Suite 4
Lagrangeville, NY 12540-5047 - Phone
- (845) 452-5200
- Fax
- (845) 483-0824
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 | 7919 | NY | Primary |
Addresses
Primary practice location
1145 State Route 55
Suite 4
Lagrangeville, NY 12540-5047
Mailing address
PO Box 1294
Hopewell Junction, NY 12533-1294
Phone (845) 452-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050228000458 | NY | Practitioner - Chiropractic | 3274586409 | Practice locations: Lagrangeville, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7919 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1629175690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1294",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125331294",
"telephone_number": "845-452-5200",
"fax_number": "845-483-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STATE ROUTE 55",
"address_2": "SUITE 4",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405047",
"telephone_number": "845-452-5200",
"fax_number": "845-483-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDRETH",
"first_name": "MADELINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "7919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.