Detrick Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

009577 Issued in NY

Legal business name

DETRICK FAMILY CHIROPRACTIC PLLC

Practice address

601 Gates Rd
Vestal, NY 13850-2288

Phone

(607) 766-9600

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Detrick, D.C.NPI 1508972647

Title

Sole Member

Phone

(607) 766-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Robert Dana Detrick, D.C.

  • Chiropractor
  • Vestal, NY
  • NPI 1508972647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1750636056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GATES RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502288",
            "telephone_number": "607-766-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GATES RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502288",
            "telephone_number": "607-766-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETRICK FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "DETRICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "607-766-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Delap
• Staci Delucia, NP
• Michael James Demetros
• John Jody Dempsey, PH.D.
• Sreenivasa Rao Desai, MD
• Robert Dana Detrick, D.C.
• Bobbie Jo Deuel-Lewis
• Rachel Lynn Devine, FNP
• Mohan DS Dhillon, MD
• Caitlin S Digiulio, NP

• Chiropractor in Vestal, NY
• Providers in Vestal, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.