NPIMap

Organization Active NPI

Witchley Chiropractic and Acupuncture P.C.

  • Chiropractor
  • Rome, NY
National Provider Identifier
1669759312
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X4401 Issued in NY
Legal business name
WITCHLEY CHIROPRACTIC AND ACUPUNCTURE P.C.
Practice address
734 Erie Blvd W
Rome, NY 13440-3946
Phone
(315) 337-0763
Fax
(315) 337-7973
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Gary Frederick Witchley, D.C. L.AC.
Title
President
Phone
(315) 337-0763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X4401 NY Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 003867 NY

Addresses

Primary practice location

734 Erie Blvd W
Rome, NY 13440-3946

Mailing address

734 Erie Blvd W
Rome, NY 13440-3946
Phone (315) 337-0763

National Provider Directory

National Provider Directory

Locations

734 Erie Blvd W
Rome, NY 13440
Phone (315) 337-0763

Practitioners & affiliated clinicians

Practitioners 3

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1669759312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 ERIE BLVD W",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403946",
            "telephone_number": "315-337-0763",
            "fax_number": "315-337-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 ERIE BLVD W",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403946",
            "telephone_number": "315-337-0763",
            "fax_number": "315-337-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITCHLEY CHIROPRACTIC AND ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "WITCHLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-337-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.   L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4401",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.