Individual provider Active NPI

Russell S Campanella, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1275600256
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009166 Issued in NY
Practice address
4138 W Henrietta Rd
Rochester, NY 14623-5224
Phone
(585) 334-4060
Fax
(585) 321-1329
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009166 NY Primary

Addresses

Primary practice location

4138 W Henrietta Rd
Rochester, NY 14623-5224

Mailing address

3313 Chili Ave
Ste D
Rochester, NY 14624-5300
Phone (585) 334-4060

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
009166NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spine Chiropractic PLLC Chiropractor CurrentSince Nov 8, 2025 Accepting new patients
Simply Health Chiropractic P.C. Chiropractor PastSince Feb 5, 2012 Accepting new patients
Knight Chiropractic Center LLP Chiropractor PastSince Mar 6, 2006 Accepting new patients

Locations

3313 Chili Ave
Ste D
Rochester, NY 14624

3313 Chili Ave
Rochester, NY 14624
Phone (585) 889-3280

3313 Chili Ave
Ste E
Rochester, NY 14624
Phone (585) 481-6747

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1275600256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 CHILI AVE",
            "address_2": "STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245300",
            "telephone_number": "585-334-4060",
            "fax_number": "585-321-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 W HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235224",
            "telephone_number": "585-334-4060",
            "fax_number": "585-321-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "RUSSELL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009166",
            "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 Oct 21, 2019; 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.