Individual provider Active NPI

Charles Thomas Swick, DC

  • Chiropractor
  • Cazenovia, NY
National Provider Identifier
1639259211
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007504 Issued in NY
Practice address
132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231
Phone
(315) 655-8008
Fax
(315) 655-1070
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007504 NY Primary

Addresses

Primary practice location

132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231

Mailing address

132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231
Phone (315) 655-8008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202000441 NY Practitioner - Chiropractic 9931421906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

132 Albany St
Cazenovia, NY 13035-1256
Phone (315) 655-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swick Chiropractic Office, LLC Chiropractor CurrentSince Jul 29, 2014 Accepting new patients

Locations

132 Albany St
Cazenovia, NY 13035
Phone (315) 247-1118

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1639259211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "address_2": "ATWELL MILL",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-8008",
            "fax_number": "315-655-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "address_2": "ATWELL MILL",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-8008",
            "fax_number": "315-655-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWICK",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cazenovia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.