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DR. COURTNEY ANN SLACK DC, LAT, ATC
NPI 1932965068
Chiropractor in Dalton, NY

Active since February 26, 2024Accepts Medicare Assignment
10012 OLD STATE RD, DALTON, NY 14836(716) 307-9592 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Courtney Ann Slack Dc, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COURTNEY ANN SLACK DC, LAT, ATC (NPI 1932965068) is an individual chiropractor in Dalton, New York, licensed in North Carolina (5732) and active in the NPI registry since February 2024. She is a graduate of New York Chiropractic College (2023).

NPPES Registry Identity

NPI1932965068
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. COURTNEY ANN SLACKCredential: DC, LAT, ATC
Location Address10012 OLD STATE RDDalton, NY 14836-9640
Mailing Address10012 Old State RdDalton, NY 14836-9640 · (716) 307-9592
Phone(716) 307-9592
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2023
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1932965068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5732
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10012 OLD STATE RD, Dalton, NY 14836
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Courtney Ann Slack Dc, Lat, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931606498
PECOS Enrollment IDI20251009002556

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 Courtney Slack's NPI number?

The NPI number for Courtney Slack is 1932965068. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Courtney Slack located?

Courtney Slack practices at 10012 Old State Rd, Dalton, NY 14836. The listed phone number is (716) 307-9592.

What is Courtney Slack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Courtney Slack enrolled in Medicare?

Yes. Courtney Slack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Slack was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.