Organization Active NPI

Capital District Family Chiropractic, PLLC.

  • Chiropractor
  • Albany, NY
National Provider Identifier
1649901059
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPITAL DISTRICT FAMILY CHIROPRACTIC, PLLC.
Practice address
40 Colvin Ave Ste 100
Albany, NY 12206-1104
Phone
(518) 599-0067
Fax
(518) 599-0256
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Dr. Rhiannon Clauss, DCNPI 1659688497
Title
Owner
Phone
(404) 210-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

40 Colvin Ave Ste 100
Albany, NY 12206-1104

Mailing address

59 Copperfield Dr
Waterford, NY 12188-1095
Phone (404) 210-8717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122002898 NY Part B Supplier - Clinic/Group Practice 4981072956 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

40 Colvin Ave
Ste 100
Albany, NY 12206
Phone (518) 599-0067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1649901059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COPPERFIELD DR",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881095",
            "telephone_number": "404-210-8717",
            "fax_number": "518-599-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COLVIN AVE STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061104",
            "telephone_number": "518-599-0067",
            "fax_number": "518-599-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT FAMILY CHIROPRACTIC, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "RHIANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-210-8717",
        "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": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.

Verify at the official NPI Registry.