Individual provider Active NPI

Marianne Santell, D.C.

  • Chiropractor
  • Farmington, NY
National Provider Identifier
1477681963
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009868-1 Issued in NY
Practice address
1625 Rochester Rd
Farmington, NY 14425-9633
Phone
(585) 869-5120
Fax
(585) 869-5121
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009868-1 NY Primary

Addresses

Primary practice location

1625 Rochester Rd
Farmington, NY 14425-9633

Mailing address

1625 Rochester Rd
Farmington, NY 14425-9633
Phone (585) 869-5120

Other identifiers 5

IdentifierTypeStateIssuer
P010009868OtherNYEXCELLUS BLUE CHOICE
1477681963OtherNYAETNA
P010009868OtherNYEXCELLUS BCBS
1477681963OtherNYUNITED HEALTH CARE
C09868-3BOtherNYWORK COMP

Other names 1

  • Dr. Marianne Simone Former name

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
X009868-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. PastSince Jul 14, 2017 Accepting new patients

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1477681963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ROCHESTER RD",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259633",
            "telephone_number": "585-869-5120",
            "fax_number": "585-869-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ROCHESTER RD",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259633",
            "telephone_number": "585-869-5120",
            "fax_number": "585-869-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELL",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009868-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "P010009868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1477681963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P010009868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1477681963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "C09868-3B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "SIMONE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 14, 2015; 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.