Organization Active NPI

Infinite Family Wellness LLC

  • Chiropractor
  • Clyde, NY
National Provider Identifier
1962847269
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012259 Issued in NY
Legal business name
INFINITE FAMILY WELLNESS LLC
Practice address
52 Columbia St
Clyde, NY 14433-1317
Phone
(315) 573-0475
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Brett Carnevale, DCNPI 1922360478
Title
Chiropractor/Owner
Phone
(315) 573-0475

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 012259 NY Primary

Addresses

Primary practice location

52 Columbia St
Clyde, NY 14433-1317

Mailing address

PO Box 253
Clyde, NY 14433-0253
Phone (315) 573-0475

National Provider Directory

National Provider Directory

Locations

52 Columbia St
Clyde, NY 14433
Phone (315) 573-0475

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1962847269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "CLYDE",
            "state": "NY",
            "postal_code": "144330253",
            "telephone_number": "315-573-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 COLUMBIA ST",
            "city": "CLYDE",
            "state": "NY",
            "postal_code": "144331317",
            "telephone_number": "315-573-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE FAMILY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "315-573-0475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.