Active NPI
Russell S Campanella, D.C.
- Chiropractor
- Rochester, NY
National Provider Identifier
1275600256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 009166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009166 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Spine Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Simply Health Chiropractic P.C. | Chiropractor | Past | Accepting new patients |
| Knight Chiropractic Center LLP | Chiropractor | Past | 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
- 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.
-
- Chiropractor
- Rochester, NY
- NPI 1396613691
-
- Chiropractor
- Rochester, NY
- NPI 1770660094
-
- Chiropractor
- Rochester, NY
- NPI 1487927737
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.