Organization Active NPI

Ferguson Family Chiropractic, PLLC

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1871967166
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011391 Issued in NY
Legal business name
FERGUSON FAMILY CHIROPRACTIC, PLLC
Practice address
653 Plank Rd
1
Clifton Park, NY 12065-3027
Phone
(518) 383-5595
Fax
(518) 383-5594
NPI assigned
Nov 24, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John Ferguson, D.C.NPI 1386832889
Title
Owner
Phone
(518) 383-5595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317000058 NY Part B Supplier - Clinic/Group Practice 3173829116 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory

Locations

653 Plank Rd
#1
Clifton Park, NY 12065
Phone (518) 383-5595

653 Plank Rd
Clifton Park, NY 12065
Phone (518) 331-6294

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011391 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

653 Plank Rd
1
Clifton Park, NY 12065-3027

Mailing address

653 Plank Rd
1
Clifton Park, NY 12065-3027
Phone (518) 383-5595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2015.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1871967166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 PLANK RD",
            "address_2": "1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653027",
            "telephone_number": "518-383-5595",
            "fax_number": "518-383-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 PLANK RD",
            "address_2": "1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653027",
            "telephone_number": "518-383-5595",
            "fax_number": "518-383-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-383-5595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.