NPIMap

Organization Active NPI

Dr. Ricky Sam Cavallaro Family Chiropractor PLLC

Doing business as Cavallaro Family Chiropractic

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1649565664
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006530 Issued in NY
Legal business name
DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC
Doing business as
Cavallaro Family Chiropractic
Practice address
100 Osceola PL.
Syracuse, NY 13209-1242
Phone
(315) 487-5200
Fax
(315) 487-1110
NPI assigned
Jun 17, 2011
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Ricky Cavallaro, DCNPI 1295809671
Title
President
Phone
(315) 487-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006530 NY Primary

Addresses

Primary practice location

100 Osceola PL.
Syracuse, NY 13209-1242

Mailing address

100 Osceola PL.
Syracuse, NY 13209-1242
Phone (315) 487-5200

Other names 1

  • Cavallaro Family Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cavallaro Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1649565664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OSCEOLA PL.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091242",
            "telephone_number": "315-487-5200",
            "fax_number": "315-487-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OSCEOLA PL.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091242",
            "telephone_number": "315-487-5200",
            "fax_number": "315-487-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-487-5200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavallaro Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.