TACKETT CHIROPRACTIC, P.C.
NPI 1083622336
Chiropractor in Queensbury, NY
About Tackett Chiropractic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TACKETT CHIROPRACTIC, P.C. (NPI 1083622336) is a healthcare organization registered as a chiropractor in Queensbury, New York and active in the NPI registry since August 2006. The organization lists William Bernard Tackett, Pres/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tackett Chiropractic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tackett Chiropractic, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tackett Chiropractic, P.C.'s NPI number?
The NPI number for Tackett Chiropractic, P.C. is 1083622336. It was assigned to this organization in the NPPES registry on August 3, 2006.
Where is Tackett Chiropractic, P.C. located?
Tackett Chiropractic, P.C. is located at 19 Homer Ave, Queensbury, NY 12804. The listed phone number is (518) 798-4322.
What is Tackett Chiropractic, P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tackett Chiropractic, P.C. enrolled in Medicare?
Yes. Tackett Chiropractic, P.C. is registered in the Medicare PECOS enrollment system.
When is Tackett Chiropractic, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tackett Chiropractic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tackett Chiropractic, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tackett Chiropractic, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tackett Chiropractic, P.c. · NPI 1083622336
Chiropractor organization in Queensbury, New York. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1083622336 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** William Tackett, PRES/OWNER
## Practice location
- **Address:** 19 HOMER AVE, Queensbury, NY 12804-2039
- **Phone:** (518) 798-4322 · **Fax:** (518) 743-8686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 8248 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083622336) · Data from the CMS NPPES public registry.