Organization Active NPI

Adirondack Spine and Sports Chiropractic PLLC

  • Chiropractor
  • Glens Falls, NY
National Provider Identifier
1750809273
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012909 Issued in NY
Legal business name
ADIRONDACK SPINE AND SPORTS CHIROPRACTIC PLLC
Practice address
484 Glen St Ste B
Glens Falls, NY 12801-3194
Phone
(518) 741-7016
NPI assigned
Sep 5, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Michael Boris Forlini, DCNPI 1396281580
Title
Owner
Phone
(518) 741-7016

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 012909 NY Primary

Addresses

Primary practice location

484 Glen St Ste B
Glens Falls, NY 12801-3194

Mailing address

96 W Notre Dame St
Glens Falls, NY 12801-2723
Phone (845) 264-1451

National Provider Directory

National Provider Directory

Locations

484 Glen St
Ste B
Glens Falls, NY 12801
Phone (518) 350-4827

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": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1750809273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W NOTRE DAME ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012723",
            "telephone_number": "845-264-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 GLEN ST STE B",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013194",
            "telephone_number": "518-741-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK SPINE AND SPORTS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FORLINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-741-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.