Individual provider Active NPI

Trevor Jordan Horan, DC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1487351581
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013687 Issued in NY
Practice address
1732 W Genesee St
Syracuse, NY 13204-1902
Phone
(315) 214-8100
NPI assigned
Feb 9, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013687 NY Primary

Addresses

Primary practice location

1732 W Genesee St
Syracuse, NY 13204-1902

Mailing address

4451 Clay St
Hemlock, NY 14466-9716
Phone (585) 519-6719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222000474 NY Practitioner - Chiropractic 7113361759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonegate Chiropractic PLLCGroup PAC ID 1850736729, 3 clinicians

Practice addresses (Care Compare)

2005 Lyell Ave
Suite 115
Rochester, NY 14606-2325
Phone (585) 458-2679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013687NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stonegate Chiropractic PLLC Chiropractor CurrentSince Jan 9, 2024 Accepting new patients
High Point Chiropractic Wellness PC Chiropractor CurrentSince Feb 12, 2023 Accepting new patients
Align Chiropractic Chiropractor PastSince Jan 9, 2024 Accepting new patients

Locations

2005 Lyell Ave
Ste 115
Rochester, NY 14606
Phone (585) 458-2679

1732 W Genesee St
Syracuse, NY 13204
Phone (315) 214-8100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1487351581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 CLAY ST",
            "city": "HEMLOCK",
            "state": "NY",
            "postal_code": "144669716",
            "telephone_number": "585-519-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-214-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "TREVOR",
        "middle_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.