Timothy Alan Failing, D.C. – Chiropractor

Key facts

NPI: 1750472452
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: X007-584 (NY)
Practice address: 501 W State St
Ste 2
Herkimer, NY 13350-2239
Phone: (315) 866-3646
Fax: (315) 866-6400
NPI assigned: Sep 27, 2006
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Upstate Family Chiropractic, P.C. Chiropractor · Herkimer, NY · NPI 1104048792

Medicare reassignment NPD Authorized official CHIROPRACTOR · NY

Medicare Care Compare profile

Specialty: Chiropractic
Education: Palmer College Chiropractic - Davenport, 1994
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

501 W State St
Suite 2
Herkimer, NY 13350-2239
Phone (315) 866-3646

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20031230000610	NY	Practitioner - Chiropractic	1052219888	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
X007-584	NY	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Upstate Family Chiropractic, P.C.	Chiropractor	Current since Apr 1, 2003	Accepting new patients

Locations

501 W State St
#2
Herkimer, NY 13350
Phone (315) 866-3646

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	X007-584	NY	Yes

Addresses

Primary practice location

501 W State St
Ste 2
Herkimer, NY 13350-2239

Mailing address

501 W State St
Ste 2
Herkimer, NY 13350-2239
Phone (315) 823-4414

Other identifiers

Identifier	Type	State	Issuer
P00037199	Other	NY	RAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2019.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1750472452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W STATE ST",
            "address_2": "STE 2",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502239",
            "telephone_number": "315-823-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W STATE ST",
            "address_2": "STE 2",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502239",
            "telephone_number": "315-866-3646",
            "fax_number": "315-866-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILING",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007-584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00037199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

All providers in Herkimer, NY · Chiropractor in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.