NPIMap

Organization Active NPI

Dr. Timothy J. Maggs Chiropractic P.C.

Doing business as Capital District Chiropractic

  • Chiropractor
  • Schenectady, NY
National Provider Identifier
1891877551
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002193-1 Issued in NY
Legal business name
DR. TIMOTHY J. MAGGS CHIROPRACTIC P.C.
Doing business as
Capital District Chiropractic
Practice address
1462 Erie Blvd
Schenectady, NY 12305-1026
Phone
(518) 393-6566
Fax
(518) 393-2616
NPI assigned
Oct 20, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Trudy Maggs
Title
Office Manager
Phone
(518) 393-6566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002193-1 NY Primary

Addresses

Primary practice location

1462 Erie Blvd
Schenectady, NY 12305-1026

Mailing address

1462 Erie Blvd
Schenectady, NY 12305-1026

Other names 1

  • Capital District Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050715000244 NY Part B Supplier - Clinic/Group Practice 2466488911 Receives reassigned benefits from 1 practitioner
Practice locations: Schenectady, NY

National Provider Directory

National Provider Directory

Locations

1462 Erie Blvd
Schenectady, NY 12305
Phone (518) 243-1020

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1891877551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051026",
            "telephone_number": "518-393-6566",
            "fax_number": "518-393-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY J. MAGGS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "MAGGS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-393-6566"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002193-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital District Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.