Organization Active NPI

441Chiropractic PLLC

  • Chiropractor
  • Carmel, NY
National Provider Identifier
1740521269
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
441CHIROPRACTIC PLLC
Practice address
441 Route 52
Carmel, NY 10512-6001
Phone
(845) 225-9675
Fax
(845) 225-9679
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Mary Evelyn Rodda, DCNPI 1730215716
Title
Doctor
Phone
(845) 225-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

441 Route 52
Carmel, NY 10512-6001

Mailing address

441 Route 52
Carmel, NY 10512-6001
Phone (845) 225-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813001651 NY Part B Supplier - Clinic/Group Practice 4486871555 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, NY

National Provider Directory

National Provider Directory

Locations

441 Route 52
Carmel, NY 10512
Phone (845) 225-9675

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": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1740521269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 ROUTE 52",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105126001",
            "telephone_number": "845-225-9675",
            "fax_number": "845-225-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 ROUTE 52",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105126001",
            "telephone_number": "845-225-9675",
            "fax_number": "845-225-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "441CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "RODDA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "845-225-9675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.