Ellis Chiropractic Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X10055 Issued in NY

Legal business name

ELLIS CHIROPRACTIC GROUP

Practice address

122 Business Park Dr
Utica, NY 13502-6321

Phone

(315) 732-3007

Fax

(315) 732-3175

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Adam Ellis, DCNPI 1952453094

Title

Partner

Phone

(315) 732-3007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Adam C Ellis, DC

  • Chiropractor
  • New Hartford, NY
  • NPI 1952453094
  Medicare reassignment NPD Authorized official
• Valerie Ellis, DC

  • Chiropractor
  • Utica, NY
  • NPI 1841342987
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1902083496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3007",
            "fax_number": "315-732-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3007",
            "fax_number": "315-732-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-732-3007",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X10055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles J Eldredge, M.D.
• Melissa Elefante, R.N.
• Nader Zaki Elgharib, M.D.
• Ibrahim Shawki Elkilany, MD
• Marie Elliott
• John M Ellis, MD
• Valerie Ellis, DC
• Cheryl Ellsworth
• Ahmed Elramsisy, MD
• Christopher Emerson, RPA C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.