Individual provider Active NPI

Nicholas August Sienkiewycz, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1679782858
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011417-1 Issued in NY
Practice address
3450 Winton PL
Suite 4
Rochester, NY 14623-2805
Phone
(585) 334-4060
Fax
(585) 413-0489
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011417-1 NY Primary

Addresses

Primary practice location

3450 Winton PL
Suite 4
Rochester, NY 14623-2805

Mailing address

3450 Winton PL
Suite 4
Rochester, NY 14623-2805
Phone (585) 334-4060

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
X011417-1NYMDChiropractor
011417NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Campus Chiropractors LLC Chiropractor PastSince Jun 18, 2003 Accepting new patients
Campanella Chiropractic & Wellness PLLC Past Accepting new patients

Organizations & group practices 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1679782858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WINTON PL",
            "address_2": "SUITE 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232805",
            "telephone_number": "585-334-4060",
            "fax_number": "585-413-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WINTON PL",
            "address_2": "SUITE 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232805",
            "telephone_number": "585-334-4060",
            "fax_number": "585-413-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIENKIEWYCZ",
        "first_name": "NICHOLAS",
        "middle_name": "AUGUST",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011417-1",
            "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 Apr 16, 2014; 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.