Organization Active NPI

Incledon Chiropractic Office, PLLC

  • Chiropractor
  • Fishkill, NY
National Provider Identifier
1841096278
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INCLEDON CHIROPRACTIC OFFICE, PLLC
Practice address
997 Main St
Fishkill, NY 12524-1790
Phone
(914) 475-8496
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. John Donald Incledon III, DCNPI 1326631896
Title
Owner
Phone
(845) 897-2402

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 Primary

Addresses

Primary practice location

997 Main St
Fishkill, NY 12524-1790

Mailing address

997 Main St
Fishkill, NY 12524-1790
Phone (914) 475-8496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312002631 NY Part B Supplier - Clinic/Group Practice 3870014392 Receives reassigned benefits from 1 practitioner
Practice locations: Fishkill, NY

National Provider Directory

National Provider Directory

Locations

997 Main St
Fishkill, NY 12524
Phone (845) 202-3539

Practitioners & affiliated clinicians

Practitioners 1

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": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1841096278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "914-475-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241790",
            "telephone_number": "914-475-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLEDON CHIROPRACTIC OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "INCLEDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-897-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.