Mathias Gabriel Backus, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013677 Issued in NY

Practice address

242 W Main St Ste 101
Rochester, NY 14614-1144

Phone

(585) 413-1965

Fax

(585) 563-7475

NPI assigned

Jan 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Winch Chiropractic, PC

  • Chiropractor
  • Rochester, NY
  • NPI 1255685020
  NPD (past)

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1427763325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST STE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141144",
            "telephone_number": "585-413-1965",
            "fax_number": "585-563-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST STE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141144",
            "telephone_number": "585-413-1965",
            "fax_number": "585-563-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "MATHIAS",
        "middle_name": "GABRIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Bachl, LPN
• Cecelia Rose Bachmann
• Gloria J Baciewicz, M.D.
• Martine S Backenstoss, M.D.
• Reese Monika Backes, PA-C
• Nicole S Backus
• Alyssa Bacon, LMSW
• Antoinette Dionne Bacon, LPN
• Elizabeth Ann Bacon, P.A.
• Nahmese Bacot

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.