Organization Active NPI

Lagrange Chiropractic PC

  • Chiropractor
  • Poughkeepsie, NY
National Provider Identifier
1922290485
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005299 Issued in NY
Legal business name
LAGRANGE CHIROPRACTIC PC
Practice address
305 Titusville Rd
Suite 1
Poughkeepsie, NY 12603-2917
Phone
(845) 471-7850
Fax
(845) 471-1022
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Christopher J Blisko, DCNPI 1992700686
Title
Doctor/President
Phone
(845) 471-7850

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X005299 NY Primary

Addresses

Primary practice location

305 Titusville Rd
Suite 1
Poughkeepsie, NY 12603-2917

Mailing address

305 Titusville Rd
Suite 1
Poughkeepsie, NY 12603-2917
Phone (845) 471-7850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001526 NY Part B Supplier - Clinic/Group Practice 6305826298 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

305 Titusville Rd
Ste 1
Poughkeepsie, NY 12603
Phone (845) 471-7850

1 Bushwick Rd
Ste A
Poughkeepsie, NY 12603
Phone (845) 471-7850

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1922290485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TITUSVILLE RD",
            "address_2": "SUITE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032917",
            "telephone_number": "845-471-7850",
            "fax_number": "845-471-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TITUSVILLE RD",
            "address_2": "SUITE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032917",
            "telephone_number": "845-471-7850",
            "fax_number": "845-471-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BLISKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "845-471-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.