Fairport Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X3976 Issued in NY

Legal business name

FAIRPORT CHIROPRACTIC

Practice address

1157 Fairport Rd
Fairport, NY 14450-1237

Phone

(585) 381-7724

Fax

(585) 381-3346

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin A Caruso, D.C.NPI 1871692749

Title

Doctor of Chiropractic

Phone

(585) 381-7724

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin A. Caruso, D.C.

  • Chiropractor
  • Fairport, NY
  • NPI 1871692749
  NPD (past) Authorized official
• John Marini

  • Chiropractor
  • Forest Hills, NY
  • NPI 1811362387
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1033575626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 FAIRPORT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501237",
            "telephone_number": "585-381-7724",
            "fax_number": "585-381-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 FAIRPORT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501237",
            "telephone_number": "585-381-7724",
            "fax_number": "585-381-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "585-381-7724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bahie Ezzat, MS
• Jennifer Ann Fackelman, OTR
• Fairport Baptist Homes
• Fairport Baptist Homes Adult Care Facility
• Fairport Central School District
• Fairport Dental, P.C.
• Fairport Pediatrics
• Fairport Physical Therapy, PC
• Fairport Psychiatric Associates
• Fairport Smiles Dentistry, PC (CrossKeys Dental)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.