Organization Active NPI

Rochester Chiropractic PC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1528430733
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008556-1 Issued in NY
Legal business name
ROCHESTER CHIROPRACTIC PC
Practice address
1687 English Rd
Rochester, NY 14616-1692
Phone
(585) 227-7721
Fax
(585) 227-7858
NPI assigned
Oct 27, 2015
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. William L Desandis, DCNPI 1992796692
Title
Chiropractor
Phone
(585) 227-7721

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
Chiropractor 111N00000X X008556-1 NY Primary

Addresses

Primary practice location

1687 English Rd
Rochester, NY 14616-1692

Mailing address

1687 English Rd
Rochester, NY 14616-1692
Phone (585) 227-7721

Other identifiers 1

IdentifierTypeStateIssuer
14261BOtherNYMEDICARE PROV ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160127001874 NY Part B Supplier - Clinic/Group Practice 4789987694 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1528430733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ENGLISH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161692",
            "telephone_number": "585-227-7721",
            "fax_number": "585-227-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ENGLISH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161692",
            "telephone_number": "585-227-7721",
            "fax_number": "585-227-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "DESANDIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "585-227-7721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008556-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV ID",
            "identifier": "14261B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.