Russell A. Perez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009040-1 Issued in NY

Practice address

8212 Brewerton Rd
Cicero, NY 13039-6400

Phone

(315) 699-1441

Fax

(315) 699-2596

NPI assigned

Dec 6, 2006

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Goshorn Chiropractic P.C.

  • Chiropractor
  • Webster, NY
  • NPI 1124057492
  NPD (past)
• Highland Hospital of Rochester

  dba Highland Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1538228531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130396400",
            "telephone_number": "315-699-1441",
            "fax_number": "315-699-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130396400",
            "telephone_number": "315-699-1441",
            "fax_number": "315-699-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RUSSELL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009040-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Payer, D.M.D.
• Kristen Pearce
• Shelby Peck
• Joseph Timothy Pellegrino, AUD, CCC-A
• Penn Traffic Company the (P and C Food and Pharmacy 3025)
• Lucas Pettit
• Katherine Pfohl
• Philmont Family Dental Care PLLC
• Ann Marie Pignatti, RN
• Donato Pinnisi, PT, DPT

• Chiropractor in Cicero, NY
• Providers in Cicero, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.