Rochester Sports Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROCHESTER SPORTS CHIROPRACTIC, PLLC

Practice address

10 Assembly Dr Ste 105
Mendon, NY 14506-9604

Phone

(585) 497-7078

NPI assigned

Sep 20, 2019

Last updated

Sep 20, 2019By 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

Keven E. Hagen, DCNPI 1316484348

Title

Provider

Phone

(585) 497-7078

Specialties & licenses 1

Addresses

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.

• Keven Hagen, DC

  • Chiropractor
  • Mendon, NY
  • NPI 1316484348
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1801447933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ASSEMBLY DR UNIT 137",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145067006",
            "telephone_number": "585-497-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ASSEMBLY DR STE 105",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069604",
            "telephone_number": "585-497-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER SPORTS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "585-497-7078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendon Pediatrics,PLLC
• Mendon Physical Therapy Management, PC (Pittsford Mendon Physical Therapy)
• Donna Deking Meyer, MD
• Scott Millman, P.T.
• Juan Pantoja, DPT
• James N Roland, DDS
• Peter Spegar, DPT
• Lanae Titus, LMT
• John B Tompkins, RPH
• Treehouse Physical Therapy, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.