NPIMap

Organization Active NPI

Crossroads Chiropractic and Health Center PC

  • Chiropractor
  • Lima, NY
National Provider Identifier
1255622155
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007233-1 Issued in NY
Legal business name
CROSSROADS CHIROPRACTIC AND HEALTH CENTER PC
Practice address
1879 Rochester St
Lima, NY 14485-9501
Phone
(585) 582-1866
Fax
(585) 582-1014
NPI assigned
Apr 26, 2011
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. Joseph Donnelli, DCNPI 1932574209
Title
President
Phone
(585) 582-1866

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X007233-1 NY Primary

Addresses

Primary practice location

1879 Rochester St
Lima, NY 14485-9501

Mailing address

1879 Rochester St
PO Box 26a
Lima, NY 14485-9501
Phone (585) 582-1866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110629000045 NY Part B Supplier - Clinic/Group Practice 6002094711 Receives reassigned benefits from 5 practitioners
Practice locations: Hilton, NY; Lima, NY; West Henrietta, NY

National Provider Directory

National Provider Directory

Locations

5152 E River Rd
Ste 104
West Henrietta, NY 14586
Phone (585) 582-1866

Practitioners & affiliated clinicians

Practitioners 7

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1255622155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 ROCHESTER ST",
            "address_2": "PO BOX 26A",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859501",
            "telephone_number": "585-582-1866",
            "fax_number": "585-582-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 ROCHESTER ST",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859501",
            "telephone_number": "585-582-1866",
            "fax_number": "585-582-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC AND HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "DONNELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-582-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007233-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.