NPIMap

Organization Active NPI

Southside Chiropractic, LLC

  • Chiropractor
  • Oneonta, NY
National Provider Identifier
1740305531
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHSIDE CHIROPRACTIC, LLC
Practice address
531 Southside Dr
Oneonta, NY 13820-3211
Phone
(607) 433-9661
Fax
(607) 643-0306
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. April Dawn HillierNPI 1770752313
Title
Fininicial Manager
Phone
(607) 433-9661

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 NY Primary

Addresses

Primary practice location

531 Southside Dr
Oneonta, NY 13820-3211

Mailing address

531 Southside Dr
Oneonta, NY 13820-3211
Phone (607) 433-9661

Other names 1

  • Southside Chiropractic and Alternative Health Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000175 NY Part B Supplier - Clinic/Group Practice 8921192329 Receives reassigned benefits from 7 practitioners
Practice locations: Oneonta, NY

National Provider Directory

National Provider Directory

Locations

531 Southside Dr
Oneonta, NY 13820
Phone (607) 433-9661

Practitioners & affiliated clinicians

Practitioners 9

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740305531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SOUTHSIDE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203211",
            "telephone_number": "607-433-9661",
            "fax_number": "607-643-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SOUTHSIDE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203211",
            "telephone_number": "607-433-9661",
            "fax_number": "607-643-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILLIER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "FININICIAL MANAGER",
        "authorized_official_telephone_number": "607-433-9661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Chiropractic and Alternative Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.