Individual provider Active NPI

Justin Geoffrey Rizzo, D.C.

  • Chiropractor
  • Bennington, VT
National Provider Identifier
1760635064
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0134120 Issued in VT
Practice address
160 Benmont Ave Ste 30
Bennington, VT 05201-1899
Phone
(802) 447-2110
Fax
(802) 447-2115
NPI assigned
Oct 30, 2008
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011714 NY
Chiropractor 111N00000X 3968 NC
Chiropractor 111N00000X 006.0134120 VT Primary

Addresses

Primary practice location

160 Benmont Ave Ste 30
Bennington, VT 05201-1899

Mailing address

3 Dwight Ave
Clinton, NY 13323-1613
Phone (315) 525-9393

Other practice location 1

3 Dwight Ave
Clinton, NY 13323-1613
Phone (315) 525-9393

Other practice location 2

189 Clinton Rd
New Hartford, NY 13413-5303
Phone (315) 797-4222

Other identifiers 1

IdentifierTypeStateIssuer
1760635064OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003846 NY Practitioner - Chiropractic 0648306431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

96 Main St
Camden, NY 13316-1320
Phone (315) 558-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011714NYMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nancy L. Burns PC Chiropractor PastSince Dec 9, 2020 Accepting new patients
Carolina Chiropractic Consultants, Inc 8 Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1760635064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DWIGHT AVE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231613",
            "telephone_number": "315-525-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE STE 30",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011899",
            "telephone_number": "802-447-2110",
            "fax_number": "802-447-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Dwight Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133231613",
            "country_code": "US",
            "telephone_number": "315-525-9393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Clinton Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134135303",
            "country_code": "US",
            "telephone_number": "315-797-4222",
            "fax_number": "315-797-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "JUSTIN",
        "middle_name": "GEOFFREY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011714",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3968",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0134120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760635064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.