Organization Active NPI

Copper City Chiropractic

  • Chiropractor
  • Rome, NY
National Provider Identifier
1487290540
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COPPER CITY CHIROPRACTIC
Practice address
420 N Washington St Ste 1
Rome, NY 13440-5161
Phone
(315) 356-7381
Fax
(315) 356-7382
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Dr. Nicholas Destito, DCNPI 1598124174
Title
Owner
Phone
(315) 356-7381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

420 N Washington St Ste 1
Rome, NY 13440-5161

Mailing address

420 N Washington St Ste 1
Rome, NY 13440-5161
Phone (315) 356-7381

National Provider Directory

National Provider Directory

Locations

143 N Washington St
Rome, NY 13440
Phone (315) 337-7050

420 N Washington St
Ste 1
Rome, NY 13440
Phone (315) 356-7381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1487290540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N WASHINGTON ST STE 1",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405161",
            "telephone_number": "315-356-7381",
            "fax_number": "315-356-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N WASHINGTON ST STE 1",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405161",
            "telephone_number": "315-356-7381",
            "fax_number": "315-356-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "DESTITO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-356-7381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.