Douglas Warren Thayer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008587 Issued in NY

Practice address

189 Clinton Rd
New Hartford, NY 13413-5303

Phone

(315) 797-4222

Fax

(315) 797-7644

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851428619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CLINTON RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135303",
            "telephone_number": "315-797-4222",
            "fax_number": "315-797-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 CLINTON RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135303",
            "telephone_number": "315-797-4222",
            "fax_number": "315-797-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "DOUGLAS",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "161531371TH1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMP. NUMBER",
            "identifier": "C08587-OB",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby A Taylor, MD
• Karolina Terebey, RDH
• Mary Ellen Terpstra
• David Thall, PT, DPT
• Alyna Thayer
• The Dental Office
• The Golub Corporation
• Therapy Helps, LLC
• Tarnbir Thind, OD
• Amela Thompson

• Chiropractor in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.