Custom Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CUSTOM CHIROPRACTIC PLLC

Practice address

200 E 14TH St Ste a
Elmira, NY 14903-1339

Phone

(607) 735-2125

Fax

(607) 735-2126

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori A Davies, DCNPI 1104217710

Title

Chiropractor/Owner

Phone

(607) 735-2125

Specialties & licenses 1

Addresses

Locations

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.

• Lori Davies, D.C.

  • Chiropractor
  • Elmira, NY
  • NPI 1104217710
  NPD (past) Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1629756515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 WESTLAKE ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 14TH ST STE A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031339",
            "telephone_number": "607-735-2125",
            "fax_number": "607-735-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "607-735-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Cummings, M.A
• Kimberly Ann Cummings, RN
• Thomas Curran
• Madison Taylor Curtis, LMHC, MSED
• William Cusick
• Chelsea Cutaia, RPH
• Heather Lynne Cutlip, D.C.
• CVS Albany LLC (CVS Pharmacy #17240)
• Matthew J D'Ortona Jr., PSYD
• Amanda Ashley Dacey, LPN

• Chiropractor in Elmira, NY
• Providers in Elmira, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.