Individual provider Active NPI

Jose Balseca, D.C.

  • Chiropractor
  • Pittsford, NY
National Provider Identifier
1043612781
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012597 Issued in NY
Practice address
115 Sullys TRL
Ste 13
Pittsford, NY 14534-4571
Phone
(585) 727-1911
NPI assigned
Sep 25, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012597 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

115 Sullys TRL
Ste 13
Pittsford, NY 14534-4571

Mailing address

115 Sullys TRL
Ste 13
Pittsford, NY 14534-4571

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2016.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1043612781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL",
            "address_2": "STE 13",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SULLYS TRL",
            "address_2": "STE 13",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344571",
            "telephone_number": "585-727-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSECA",
        "first_name": "JOSE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.