Individual provider Active NPI

Kristopher Daniel Ipen Van Zeilen, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1609050954
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011182-1 Issued in NY
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

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
X011182-1NYMDChiropractor

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.

Verify at the official NPI Registry.