Individual provider Active NPI

Brett Lawrence Kinsler, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1104811975
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X00085177B Issued in NY
Practice address
2364 Lyell Ave
Lyell Howard Commons
Rochester, NY 14606-5738
Phone
(585) 429-5100
Fax
(585) 429-5101
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X00085177B NY Primary

Addresses

Primary practice location

2364 Lyell Ave
Lyell Howard Commons
Rochester, NY 14606-5738

Mailing address

2364 Lyell Ave
Rochester, NY 14606-5738
Phone (585) 429-5100

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

State licenses

LicenseStateTypeSpecialty
X00085177BNYMDChiropractor
008517NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1104811975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065738",
            "telephone_number": "585-429-5100",
            "fax_number": "585-429-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 LYELL AVE",
            "address_2": "LYELL HOWARD COMMONS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065738",
            "telephone_number": "585-429-5100",
            "fax_number": "585-429-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLER",
        "first_name": "BRETT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X00085177B",
            "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 Sep 7, 2010; 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.