Individual provider Active NPI

Carolyn F Clauss, D.C.

  • Chiropractor
  • Plattsburgh, NY
National Provider Identifier
1851472518
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005051-1 Issued in NY
Practice address
1942 Military Tpke
Plattsburgh, NY 12901-7375
Phone
(518) 561-6004
Fax
(518) 561-0357
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005051-1 NY Primary

Addresses

Primary practice location

1942 Military Tpke
Plattsburgh, NY 12901-7375

Mailing address

PO Box 3046
Plattsburgh, NY 12901-0298
Phone (518) 561-6004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000269 NY Practitioner - Chiropractic 8628099793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

148 Margaret St
Plattsburgh, NY 12901-1838
Phone (518) 561-6004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005051-1NYMDChiropractor
005051NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Family Chiropractic PC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

1942 Military Tpke
Plattsburgh, NY 12901
Phone (518) 310-3644

148 Margaret St
Plattsburgh, NY 12901
Phone (518) 561-6004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1851472518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010298",
            "telephone_number": "518-561-6004",
            "fax_number": "518-561-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-561-6004",
            "fax_number": "518-561-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSS",
        "first_name": "CAROLYN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 2010; 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.