NPIMap

Organization Active NPI

Rochester Chiropractic Spinal Rehabilitation PLLC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1104189976
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010845 Issued in NY
Legal business name
ROCHESTER CHIROPRACTIC SPINAL REHABILITATION PLLC
Practice address
400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone
(584) 533-4556
Fax
(585) 334-5581
NPI assigned
Jun 18, 2012
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Antonino Carlino, DC DIBENPI 1770602377
Title
Owner/President
Phone
(585) 334-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X010845 NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273

Mailing address

1160 Chili Ave Ste 100
Rochester, NY 14624-3035
Phone (585) 334-5560

National Provider Directory

National Provider Directory

Locations

1160 Chili Ave
Ste 100
Rochester, NY 14624
Phone (585) 334-5560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1104189976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CHILI AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243035",
            "telephone_number": "585-334-5560",
            "fax_number": "585-334-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "584-533-4556",
            "fax_number": "585-334-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER CHIROPRACTIC SPINAL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "CARLINO",
        "authorized_official_first_name": "ANTONINO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-334-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DIBE"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.