Individual provider Active NPI

Derek William Johnstone, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1629266879
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011779 Issued in NY
Practice address
3313 Chili Ave
Rochester, NY 14624-5300
Phone
(585) 889-3280
Fax
(585) 889-7759
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011779 NY Primary

Addresses

Primary practice location

3313 Chili Ave
Rochester, NY 14624-5300

Mailing address

3313 Chili Ave
Rochester, NY 14624-5300
Phone (585) 889-3280

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X011779NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spine Chiropractic PLLC Chiropractor CurrentSince Nov 8, 2025 Accepting new patients
Campanella Chiropractic & Wellness PLLC CurrentSince Oct 6, 2024 Accepting new patients
Benson Chiropractic, PC Chiropractor PastSince May 1, 2005 Accepting new patients
Rush-Henrietta Family Chiropractic PC Chiropractor PastSince Mar 27, 2017 Accepting new patients

Locations

3313 Chili Ave
Rochester, NY 14624
Phone (585) 889-3280

Organizations & group practices 4

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1629266879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 CHILI AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245300",
            "telephone_number": "585-889-3280",
            "fax_number": "585-889-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 CHILI AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245300",
            "telephone_number": "585-889-3280",
            "fax_number": "585-889-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "DEREK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011779",
            "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 18, 2025; 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.