Individual provider Active NPI

Evely Joanny Pacheco Matias, DC

  • Chiropractor
  • Farmington, NY
National Provider Identifier
1447056791
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013913 Issued in NY
Practice address
6406 Cedar Creek Way
Farmington, NY 14425-9634
Phone
(939) 262-2581
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013913 NY Primary

Addresses

Primary practice location

6406 Cedar Creek Way
Farmington, NY 14425-9634

Mailing address

6406 Cedar Creek Way
Farmington, NY 14425-9634
Phone (939) 262-2581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828003231 NY Practitioner - Chiropractic 2264933555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry John James Ess IV DO PLLCGroup PAC ID 9436489671, 4 clinicians

Practice addresses (Care Compare)

1865 S Clinton Ave
Suite 180
Rochester, NY 14618-5726
Phone (585) 454-4190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013913NYMDChiropractor
013913NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry John James Ess IV DO PLLC CurrentSince Jun 21, 2025 Accepting new patients

Locations

1865 S Clinton Ave
Ste 180
Rochester, NY 14618
Phone (585) 454-4190

Organizations & group practices 1

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1447056791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 CEDAR CREEK WAY",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259634",
            "telephone_number": "939-262-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 CEDAR CREEK WAY",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259634",
            "telephone_number": "939-262-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO MATIAS",
        "first_name": "EVELY",
        "middle_name": "JOANNY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.