Kristin Bezek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013478 Issued in NY

Practice address

2132 Five Mile Line Rd Ste E
Penfield, NY 14526-2209

Phone

(585) 469-1571

Fax

(585) 203-1741

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Functional Living Chiropractic, PLLC

  • Chiropractor
  • Penfield, NY
  • NPI 1528752458
  Medicare reassignment NPD Authorized official
• MG Dodge Chiropractic, PC

  • Chiropractor
  • Sodus, NY
  • NPI 1942771092
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1508436833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 FIVE MILE LINE RD STE E",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262209",
            "telephone_number": "585-469-1571",
            "fax_number": "585-203-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 FIVE MILE LINE RD STE E",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262209",
            "telephone_number": "585-469-1571",
            "fax_number": "585-203-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZEK",
        "first_name": "KRISTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Mary Basener
• Kelly Battoglia, NP
• Janette Beikirch, RPH
• Matthew Scott Berliner
• Calisha Marie Bertram, LMHC-D
• Elisa Annette Biedenbach, LPN
• Heather Leeanne Black, RN
• Bloom Physical Therapy PLLC
• Rachael Madeline Boehmer, LCSW
• Claire E Bollin

• All providers in Penfield, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.