Active NPI
David P Cedarbaum, DC
- Chiropractor
- Ithaca, NY
National Provider Identifier
1700987179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005308-1
- Practice address
- 520 W State St
Ithaca, NY 14850-5222 - Phone
- (607) 277-0101
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005308-1 | NY | Primary |
Addresses
Primary practice location
520 W State St
Ithaca, NY 14850-5222
Mailing address
520 W State St
Ithaca, NY 14850-5222
Phone (607) 277-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005308-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Vonbergen | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700987179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W STATE ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505222",
"telephone_number": "607-277-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W STATE ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505222",
"telephone_number": "607-277-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDARBAUM",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005308-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
- Cayuga Neurologic Services LLP
- Cayuga Physical Therapy, P.C.
- Cayuga Physician Practice PLLC
- Cayuga Ridge, LLC (Cayuga Ridge Extended Care)
- Cayuga Womens Medical Health, PLLC
- Celeste Froehlich LCSW High Fields Wellness PLLC (High Fields Wellness)
- Felipe Centellas Montano, MD
- Center for Healing and Transformation
- Cindy L. Ceracche, REGISTERED NURSE
- Justin Elijah Moroscallo Cerdena, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.