Nicholas O'Dell

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0013666 Issued in NY

Practice address

853 Ridge Rd
Webster, NY 14580-2550

Phone

(585) 671-9210

Fax

(585) 671-0018

NPI assigned

Oct 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Odell Family Chiropractic PCGroup PAC ID 3173603768, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Odell Family Chiropractic PC

  • Chiropractor
  • Webster, NY
  • NPI 1952525578
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1013633130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802550",
            "telephone_number": "585-671-9210",
            "fax_number": "585-671-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802550",
            "telephone_number": "585-671-9210",
            "fax_number": "585-671-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Metro Park",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146232653",
            "country_code": "US",
            "telephone_number": "585-671-9210",
            "fax_number": "585-671-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0013666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Nowak, RN,RD,CDE,CDN
• Andrea C Nuccio, REGISTERED PROFESSIO
• Norman O Dell
• Thomas Edward O'Brien, B.S., M.S., PHARM. D
• Rebecca O'Connor
• Odell Family Chiropractic PC
• Stephanie Ogunbayo, RN
• Stephanie Oldfield, RN
• Anthony Christopher Oliveri, P.T.
• Michelle Ann Olszowy, LPN

• Chiropractor in Webster, NY
• Providers in Webster, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.