Individual provider Active NPI

Forrest Scott Coykendall, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1548214638
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006751 Issued in NY
Practice address
2050 Latta Rd
Rochester, NY 14612-3734
Phone
(585) 621-2540
Fax
(585) 621-2591
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006751 NY Primary

Addresses

Primary practice location

2050 Latta Rd
Rochester, NY 14612-3734

Mailing address

2050 Latta Rd
Rochester, NY 14612-3734
Phone (585) 621-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000018 NY Practitioner - Chiropractic 8729255062 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 Latta Rd
Rochester, NY 14612-3746
Phone (585) 621-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006751NYMDMental Health Counselor
X006751NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Faris Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1548214638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LATTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123734",
            "telephone_number": "585-621-2540",
            "fax_number": "585-621-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LATTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123734",
            "telephone_number": "585-621-2540",
            "fax_number": "585-621-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYKENDALL",
        "first_name": "FORREST",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006751",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2008; 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.