Active NPI
Kristopher Daniel Ipen Van Zeilen, D.C.
- Chiropractor
- Rochester, NY
National Provider Identifier
1609050954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011182-1
- Practice address
- 550 Latona Rd
Suite 404
Rochester, NY 14626-2700 - Phone
- (585) 227-8290
- Fax
- (585) 227-5385
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011182-1 | NY | Primary |
Addresses
Primary practice location
550 Latona Rd
Suite 404
Rochester, NY 14626-2700
Mailing address
550 Latona Rd
Suite 404
Rochester, NY 14626-2700
Phone (585) 227-8290
Other names 1
- Dr. Kristopher Daniel Van Zeilen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011182-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1609050954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 LATONA RD",
"address_2": "SUITE 404",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146262700",
"telephone_number": "585-227-8290",
"fax_number": "585-227-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 LATONA RD",
"address_2": "SUITE 404",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146262700",
"telephone_number": "585-227-8290",
"fax_number": "585-227-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPEN VAN ZEILEN",
"first_name": "KRISTOPHER",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTOPHER",
"last_name": "VAN ZEILEN",
"middle_name": "DANIEL",
"prefix": "DR.",
"credential": "D.C",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 21, 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.