NORTH COUNTRY CHIROPRACTIC
NPI 1104093749
Clinic/Center in Heuvelton, NY

NPI Status: Active since May 13, 2008

Contact Information

94 STATE ST
HEUVELTON, NY
ZIP 13654
Phone: (315) 344-7296
Fax: (315) 344-7296

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  • Organization
  • Clinic/Center

About NORTH COUNTRY CHIROPRACTIC

This page provides the complete NPI Profile along with additional information for North Country Chiropractic, a provider established in Heuvelton, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104093749 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number X011547-1 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as North Country Chiropractic. The authorized official of this NPI record is Dr. Timothy Michael Kelley Jr. Dc (Owner)

NPI
1104093749
Provider Legal Name
TIMOTHY M KELLEY DC PLLC
Other Organization Name
NORTH COUNTRY CHIROPRACTIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
94 STATE ST HEUVELTON, NY 13654
Location Phone
(315) 344-7296
Location Fax
(315) 344-7296
Mailing Address
94 STATE ST HEUVELTON, NY 13654
Mailing Phone
(315) 344-7296
Mailing Fax
(315) 344-7296
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2008
Last Update Date
05-13-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
X011547-1
License State
NY
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY MICHAEL KELLEY JR. DC

Authorized Official Title
OWNER
Authorized Official Phone
(315) 344-7296

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104093749
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210409678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 9 + 6 + 7 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1104093749 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356443972DR. TIMOTHY MICHAEL KELLEY JR. DC
Individual
Chiropractor94 STATE ST
HEUVELTON, NY 13654
(315) 344-7296

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104093749, enumerated in the NPI registry as an "organization" on May 13, 2008

The provider is located at 94 State St Heuvelton, Ny 13654 and the phone number is (315) 344-7296

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on May 13, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.