Donald R. Dudley, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X009170 Issued in NY

Practice address

90 Erie Canal Dr
Suite D
Rochester, NY 14626-4601

Phone

(585) 225-6430

Fax

(585) 225-9636

NPI assigned

Jun 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRD Healthsource Chiropractic PLLCGroup PAC ID 9830243351, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• DRD Healthsource Chiropractic PLLC

  • Sports Physician Chiropractor
  • Rochester, NY
  • NPI 1245479435
  Medicare reassignment Care Compare group NPD Authorized official
• Campanella Chiropractic & Wellness PLLC

  • Internist Chiropractor
  • Rochester, NY
  • NPI 1639405822
  NPD (past)
• Synergy Spine Chiropractic PLLC

  • Chiropractor
  • Rochester, NY
  • NPI 1396613691
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1033145115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ERIE CANAL DR",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264601",
            "telephone_number": "585-225-6430",
            "fax_number": "585-225-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ERIE CANAL DR",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264601",
            "telephone_number": "585-225-6430",
            "fax_number": "585-225-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "C09170-4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Dudek
• Shivani Dudhia, PA-C
• Alexandra Marie Dudick, ATC
• Bo Dudley
• Brayana Lashay Dudley, DC
• Madeline Dudley, RPA-C
• Tenicia Dudley
• Erin E Duecy, MD
• Helen Aleyda Duenas, MD
• Christina M Duerr, REGISTERED NURSE

• Sports Physician Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.