Organization Active NPI

Swick Chiropractic Office, LLC

  • Chiropractor
  • Cazenovia, NY
National Provider Identifier
1952558009
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007504 Issued in NY
Legal business name
SWICK CHIROPRACTIC OFFICE, LLC
Practice address
132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231
Phone
(315) 655-8008
Fax
(315) 655-1070
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Charles Thomas Swick, DCNPI 1639259211
Title
President
Phone
(315) 655-8008

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 X007504 NY Primary

Addresses

Primary practice location

132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231

Mailing address

132 Albany St
Atwell Mill
Cazenovia, NY 13035-1231
Phone (315) 655-8008

Other identifiers 1

IdentifierTypeStateIssuer
54614AOtherNYPTAN

Other names 1

  • Swick & Swick Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202000212 NY Part B Supplier - Clinic/Group Practice 7618299686 Receives reassigned benefits from 1 practitioner
Practice locations: Cazenovia, NY

National Provider Directory

National Provider Directory

Locations

132 Albany St
Cazenovia, NY 13035
Phone (315) 247-1118

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1952558009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "address_2": "ATWELL MILL",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-8008",
            "fax_number": "315-655-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ALBANY ST",
            "address_2": "ATWELL MILL",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130351231",
            "telephone_number": "315-655-8008",
            "fax_number": "315-655-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWICK CHIROPRACTIC OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "SWICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-655-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "54614A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swick & Swick Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cazenovia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.