Organization Active NPI

Lindelock Chiropractic PLLC

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1982924734
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011855 Issued in NY
Legal business name
LINDELOCK CHIROPRACTIC PLLC
Practice address
179 Graham Rd
Suite C
Ithaca, NY 14850-1141
Phone
(607) 319-4734
Fax
(607) 319-4708
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Rebecca Marie Matlock, DC
Title
Co Owner
Phone
(908) 619-7845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011855 NY Primary

Addresses

Primary practice location

179 Graham Rd
Suite C
Ithaca, NY 14850-1141

Mailing address

179 Graham Rd
Suite C
Ithaca, NY 14850-1141
Phone (607) 319-4734

Other names 1

  • CenterStone Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

179 Graham Rd
Ste C
Ithaca, NY 14850
Phone (607) 319-4734

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1982924734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GRAHAM RD",
            "address_2": "SUITE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501141",
            "telephone_number": "607-319-4734",
            "fax_number": "607-319-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GRAHAM RD",
            "address_2": "SUITE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501141",
            "telephone_number": "607-319-4734",
            "fax_number": "607-319-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDELOCK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "908-619-7845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterStone Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.