Active NPI
Maryann Champlin, DC
- Chiropractor
- Oxford, NY
National Provider Identifier
1972502342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009504
- Practice address
- 26 Mechanic St
Oxford, NY 13830-4334 - Phone
- (607) 843-2811
- Fax
- (607) 843-2811
- NPI assigned
- Jul 19, 2005
- Last updated
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009504 | NY | Primary |
Addresses
Primary practice location
26 Mechanic St
Oxford, NY 13830-4334
Mailing address
26 Mechanic St
Oxford, NY 13830-4334
Phone (607) 843-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009504 | NY | MD | Chiropractor |
| 009504 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1972502342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MECHANIC ST",
"city": "OXFORD",
"state": "NY",
"postal_code": "138304334",
"telephone_number": "607-843-2811",
"fax_number": "607-843-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MECHANIC ST",
"city": "OXFORD",
"state": "NY",
"postal_code": "138304334",
"telephone_number": "607-843-2811",
"fax_number": "607-843-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPLIN",
"first_name": "MARYANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.