Individual provider Active NPI

Joseph M Manza, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1366525289
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010930 Issued in NY
Practice address
144 Metro Park
Ste 6
Rochester, NY 14623-2653
Phone
(585) 544-3759
Fax
(585) 544-3884
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010930 NY Primary

Addresses

Primary practice location

144 Metro Park
Ste 6
Rochester, NY 14623-2653

Mailing address

144 Metro Park
Ste 6
Rochester, NY 14623-2653
Phone (585) 544-3759

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
X010930NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Ridge Chiropractic PC Chiropractor Past Accepting new patients
Failing Chiropractic, PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1366525289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 METRO PARK",
            "address_2": "STE 6",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232653",
            "telephone_number": "585-544-3759",
            "fax_number": "585-544-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 METRO PARK",
            "address_2": "STE 6",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232653",
            "telephone_number": "585-544-3759",
            "fax_number": "585-544-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010930",
            "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 May 31, 2017; 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.