NPIMap

Organization Active NPI

American Chiropractic Enterprise PLLC

Doing business as kb chiropractic

  • Chiropractor
  • Hudson, NY
National Provider Identifier
1942495486
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010809 Issued in NY
Legal business name
AMERICAN CHIROPRACTIC ENTERPRISE PLLC
Doing business as
kb chiropractic
Practice address
322 Fairview Ave
Hudson, NY 12534-1219
Phone
(518) 828-3662
Fax
(581) 828-3845
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Brandon L Manson, D.CNPI 1861578734
Title
Owner/Doctor
Phone
(518) 828-3662

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X010809 NY Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X0109671 NY

Addresses

Primary practice location

322 Fairview Ave
Hudson, NY 12534-1219

Mailing address

322 Fairview Avenue
Hudson, NY 12534
Phone (518) 828-3662

Other names 1

  • kb chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000277 NY Part B Supplier - Clinic/Group Practice 8820182447 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, NY

National Provider Directory

National Provider Directory

Locations

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

351 Fairview Ave
Ste 600
Hudson, NY 12534
Phone (518) 828-3662

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1942495486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 FAIRVIEW AVENUE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-828-3662",
            "fax_number": "581-828-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 FAIRVIEW AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341219",
            "telephone_number": "518-828-3662",
            "fax_number": "581-828-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CHIROPRACTIC ENTERPRISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "MANSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "518-828-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010809",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0109671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kb chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.