Active NPI
Pine Cone Chiropractic
- Chiropractor
- Sparta, NJ
National Provider Identifier
1710176672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC05169
- Legal business name
- PINE CONE CHIROPRACTIC
- Practice address
- 10 Pine Cone Lane
Sparta, NJ 07871-2302 - Phone
- (973) 729-5251
- Fax
- (972) 729-1431
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne M Odair, DC
- Title
- Owner Chiropractor
- Phone
- (973) 729-5251
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC05169 | NJ | Primary |
| Chiropractor | 111N00000X | MC04860 | NJ |
Addresses
Primary practice location
10 Pine Cone Lane
Sparta, NJ 07871-2302
Mailing address
10 Pine Cone Lane
Sparta, NJ 07871-2302
Phone (973) 729-5251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10 Pine Cone Ln
Sparta, NJ 07871
Phone (973) 729-5251
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Sparta, NJ
- NPI 1285650689
-
- Chiropractor
- Sparta, NJ
- NPI 1336152834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1710176672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PINE CONE LANE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712302",
"telephone_number": "973-729-5251",
"fax_number": "972-729-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PINE CONE LANE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712302",
"telephone_number": "973-729-5251",
"fax_number": "972-729-1431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE CONE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "ODAIR",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER CHIROPRACTOR",
"authorized_official_telephone_number": "973-729-5251",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC05169",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.