Michael Vincent Rockefeller, D.C.,L.AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11405 Issued in NY

Practice address

454 Main St
Oneonta, NY 13820-2027

Phone

(607) 433-2225

Fax

(607) 433-0117

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1447383435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-433-2225",
            "fax_number": "607-433-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-433-2225",
            "fax_number": "607-433-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Pearl St W",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "NY",
            "postal_code": "138381330",
            "country_code": "US",
            "telephone_number": "607-563-2273",
            "fax_number": "607-563-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKEFELLER",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.,L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "11405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.