NPIMap

Organization Active NPI

Bush Chiropractic, PLLC

  • Chiropractor
  • Vernon, NY
National Provider Identifier
1811216203
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009380 Issued in NY
Legal business name
BUSH CHIROPRACTIC, PLLC
Practice address
4857 State Route 5
Vernon, NY 13476-3530
Phone
(315) 953-4103
Fax
(315) 953-4138
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Darrack L Bush, D.C.NPI 1548324114
Title
Owner
Phone
(315) 953-4103

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 X009380 NY Primary

Addresses

Primary practice location

4857 State Route 5
Vernon, NY 13476-3530

Mailing address

4857 State Route 5
Vernon, NY 13476-3530
Phone (315) 953-4103

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1811216203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 STATE ROUTE 5",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763530",
            "telephone_number": "315-953-4103",
            "fax_number": "315-953-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 STATE ROUTE 5",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763530",
            "telephone_number": "315-953-4103",
            "fax_number": "315-953-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DARRACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-953-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.