Lifepower Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFEPOWER CHIROPRACTIC, PLLC

Practice address

135 N Court St
Wampsville, NY 13163-7713

Phone

(315) 280-0586

Fax

(315) 282-2332

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sheridan A Mish, D.C.NPI 1386788891

Title

Owner/Head Doctor

Phone

(315) 280-0586

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheridan Andrew Mish, D.C.

  • Chiropractor
  • Canastota, NY
  • NPI 1386788891
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Tyler Romeo, DC

  • Chiropractor
  • Wampsville, NY
  • NPI 1013791292
  Medicare reassignment Care Compare group NPD
• Neil P Miller, OD

  • Optometrist
  • Saranac Lake, NY
  • NPI 1639155187
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1891571568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630013",
            "telephone_number": "315-280-0586",
            "fax_number": "315-282-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N COURT ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131637713",
            "telephone_number": "315-280-0586",
            "fax_number": "315-282-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOWER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "MISH",
        "authorized_official_first_name": "SHERIDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/HEAD DOCTOR",
        "authorized_official_telephone_number": "315-280-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Patricia Kitchen, LCSW
• Mallory Kleps
• Sharon A Lancette
• Lisa Lemura, LMSW
• Danielle Smith Licitra, LCSW-R
• Madison County (Madison County Department of Health)
• Madison County
• Madison County
• Madison County Department of Health
• Madison County Department of Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.