Organization Active NPI

Sigillo Chiropractic PC

  • Chiropractor
  • Brockport, NY
National Provider Identifier
1487623047
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008823 Issued in NY
Legal business name
SIGILLO CHIROPRACTIC PC
Practice address
54 N Main St
Brockport, NY 14420-1649
Phone
(585) 637-3630
Fax
(585) 637-3641
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mr. Christopher Joseph Sigillo, DCNPI 1902907918
Title
Owner
Phone
(585) 637-3630

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X X008823 NY Primary

Addresses

Primary practice location

54 N Main St
Brockport, NY 14420-1649

Mailing address

54 N Main St
Brockport, NY 14420-1649
Phone (585) 637-3630

Other identifiers 10

IdentifierTypeStateIssuer
605229OtherACN GROUP
5980631OtherAETNA
P030008823OtherBCBS
837807OtherMPN
BA0462OtherMEDICARE PC
010008823OtherBLUE CHOICE
RC70008823OtherRCIPA
000499739002OtherBCBS OF WESTERN NY
106035ANOtherPREFERRED CARE
5897516OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000501 NY Part B Supplier - Clinic/Group Practice 6204880768 Receives reassigned benefits from 1 practitioner
Practice locations: Brockport, NY

National Provider Directory

National Provider Directory

Locations

70 N Main St
Brockport, NY 14420
Phone (585) 385-4867

54 N Main St
Holley, NY 14470
Phone (585) 637-3630

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1487623047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N MAIN ST",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201649",
            "telephone_number": "585-637-3630",
            "fax_number": "585-637-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N MAIN ST",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201649",
            "telephone_number": "585-637-3630",
            "fax_number": "585-637-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGILLO CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "SIGILLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-637-3630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "605229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5980631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P030008823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "837807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PC",
            "identifier": "BA0462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "010008823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCIPA",
            "identifier": "RC70008823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WESTERN NY",
            "identifier": "000499739002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106035AN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5897516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.