Upstate Chiropractic Care P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

UPSTATE CHIROPRACTIC CARE P.C.

Practice address

1314 State Route 28
West Hurley, NY 12491-5320

Phone

(413) 281-7025

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Jerad King, DCNPI 1427422245

Title

Owner

Phone

(413) 281-7025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerad King, D.C.

  • Chiropractor
  • Lenox Dale, MA
  • NPI 1427422245

  NY

  Medicare reassignment NPD Authorized official
• Christopher Francis Donoghue Jr., DC

  • Chiropractor
  • West Hurley, NY
  • NPI 1477502169
  NPD (past)
• Ray Pollard Jr., LMT

  • Other Technician
  • West Hurley, NY
  • NPI 1629227103
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1760998330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124910152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 STATE ROUTE 28",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915320",
            "telephone_number": "413-281-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CHIROPRACTIC CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JERAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-281-7025",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Shapiro
• Julie M Staber, LCSW-R
• Stone Flower Mountain Health Associates
• Steven Sugarman, O.D.
• Mary Ann Unverzagt, LPN
• Robert William Wallace, RN
• Wayne T. Miller, O.D., PLLC
• Zahava Wilson, M.S.,P.T.
• Nechama Smadar Yaish, LCSW-R

• Chiropractor in West Hurley, NY
• Providers in West Hurley, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.