NPIMap

Organization Active NPI

North Endicott Chiropractic

  • Chiropractor
  • Endicott, NY
National Provider Identifier
1689849168
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007618-1 Issued in NY
Legal business name
NORTH ENDICOTT CHIROPRACTIC
Practice address
817 Pine St
Endicott, NY 13760-2715
Phone
(607) 754-7669
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Samuel Cooper, D.C.NPI 1649368176
Title
Owner
Phone
(607) 754-7669

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 X007618-1 NY Primary

Addresses

Primary practice location

817 Pine St
Endicott, NY 13760-2715

Mailing address

817 Pine St
Endicott, NY 13760-2715
Phone (607) 754-7669

National Provider Directory

National Provider Directory

Locations

817 Pine St
Endicott, NY 13760
Phone (607) 654-7669

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1689849168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PINE ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602715",
            "telephone_number": "607-754-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PINE ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602715",
            "telephone_number": "607-754-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ENDICOTT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-754-7669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007618-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.