Active NPI
Ryan Mulcahy, D.C.
- Chiropractor
- Victor, NY
National Provider Identifier
1023461753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012833
- Practice address
- 435 Commerce Dr
Suite 150
Victor, NY 14564-9644 - Phone
- (585) 615-8021
- NPI assigned
- Jul 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012833 | NY | Primary |
Addresses
Primary practice location
435 Commerce Dr
Suite 150
Victor, NY 14564-9644
Mailing address
435 Commerce Dr
Suite 150
Victor, NY 14564-9644
Phone (585) 615-8021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171018000809 | NY | Practitioner - Chiropractic | 8123393386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012833 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1023461753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 COMMERCE DR",
"address_2": "SUITE 150",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649644",
"telephone_number": "585-615-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 COMMERCE DR",
"address_2": "SUITE 150",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649644",
"telephone_number": "585-615-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAHY",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.