NPIMap

Organization Active NPI

Realm Chiropractic of Herkimer, PC

  • Chiropractor
  • Herkimer, NY
National Provider Identifier
1710281852
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X10285 Issued in NY
Legal business name
REALM CHIROPRACTIC OF HERKIMER, PC
Practice address
419 N Main St
Herkimer, NY 13350-1925
Phone
(315) 866-1113
Fax
(315) 574-1698
NPI assigned
Jan 4, 2011
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Timothy J. Delmedico, D.C.NPI 1346206703
Title
President
Phone
(315) 797-1908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X10285 NY Primary

Addresses

Primary practice location

419 N Main St
Herkimer, NY 13350-1925

Mailing address

419 N Main St
Herkimer, NY 13350-1925
Phone (315) 866-1113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1710281852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N MAIN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501925",
            "telephone_number": "315-866-1113",
            "fax_number": "315-574-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N MAIN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501925",
            "telephone_number": "315-866-1113",
            "fax_number": "315-574-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALM CHIROPRACTIC OF HERKIMER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "DELMEDICO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-797-1908",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.