Organization Active NPI

Jonathan Mulholland, DC

  • Sports Physician Chiropractor
  • Plattsburgh, NY
National Provider Identifier
1851430904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X009992 Issued in NY
Legal business name
JONATHAN MULHOLLAND, DC
Practice address
33 Durkee St
Plattsburgh, NY 12901-2999
Phone
(518) 324-2700
Fax
(518) 324-2710
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Mulholland, D.C.
Title
Sole Proprietor
Phone
(518) 324-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X X009992 NY Primary

Addresses

Primary practice location

33 Durkee St
Plattsburgh, NY 12901-2999

Mailing address

PO Box 2123
Plattsburgh, NY 12901-0268
Phone (518) 324-2700

Other names 1

  • Plattsburgh Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

33 Durkee St
Plattsburgh, NY 12901
Phone (518) 324-2700

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851430904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010268",
            "telephone_number": "518-324-2700",
            "fax_number": "518-324-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DURKEE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012999",
            "telephone_number": "518-324-2700",
            "fax_number": "518-324-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN MULHOLLAND, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "518-324-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsburgh Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.