Active NPI
Paul Edward Dougherty, D.C.
- Orthopedic Chiropractor
- Rochester, NY
National Provider Identifier
1356390678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- X006538-1
- Practice address
- 435 E Henrietta Rd
Consultative Services
Rochester, NY 14620-4629 - Phone
- (585) 760-6270
- Fax
- (585) 760-6295
- NPI assigned
- May 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | X006538-1 | NY | Primary |
Addresses
Primary practice location
435 E Henrietta Rd
Consultative Services
Rochester, NY 14620-4629
Mailing address
435 E Henrietta Rd
Consultative Services
Rochester, NY 14620-4629
Phone (585) 760-6270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO6538-5 | Other | NY | WORK COMP |
| 4415476 | Other | NY | AETNA |
| 116580AN | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160526001240 | NY | Order and Referring Only - Other (Physician) | 1355395674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006538-1 | NY | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356390678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"address_2": "CONSULTATIVE SERVICES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-6270",
"fax_number": "585-760-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"address_2": "CONSULTATIVE SERVICES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-6270",
"fax_number": "585-760-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NY",
"license": "X006538-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "CO6538-5",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4415476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "116580AN",
"state": "NY"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.