Organization Active NPI

Rademacker Specific Chiropractic, P.C.

  • Chiropractor
  • Canandaigua, NY
National Provider Identifier
1053408971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010716-1 Issued in NY
Legal business name
RADEMACKER SPECIFIC CHIROPRACTIC, P.C.
Practice address
23 North St
Suite 7
Canandaigua, NY 14424-1053
Phone
(585) 394-8430
Fax
(585) 394-8154
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bree Rademacker, D.C.NPI 1194812081
Title
Vice President
Phone
(585) 394-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X010716-1 NY Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X010717-1 NY

Addresses

Primary practice location

23 North St
Suite 7
Canandaigua, NY 14424-1053

Mailing address

23 North St
Suite 7
Canandaigua, NY 14424-1053
Phone (585) 394-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000998 NY Part B Supplier - Clinic/Group Practice 1153305107 Receives reassigned benefits from 1 practitioner
Practice locations: Canandaigua, NY

National Provider Directory

National Provider Directory

Locations

23 North St
Ste 7
Canandaigua, NY 14424
Phone (585) 394-8430

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053408971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "address_2": "SUITE 7",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241053",
            "telephone_number": "585-394-8430",
            "fax_number": "585-394-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "address_2": "SUITE 7",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241053",
            "telephone_number": "585-394-8430",
            "fax_number": "585-394-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADEMACKER SPECIFIC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADEMACKER",
        "authorized_official_first_name": "BREE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "585-394-8430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010716-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010717-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.