Active NPI
David A Kloch, DC
- Chiropractor
- Rochester, NY
National Provider Identifier
1821137431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008286-1
- Practice address
- 771 Winton Rd S
Rochester, NY 14618-1603 - Phone
- (585) 473-5920
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008286-1 | NY | Primary |
Addresses
Primary practice location
771 Winton Rd S
Rochester, NY 14618-1603
Mailing address
771 Winton Rd S
Rochester, NY 14618-1603
Phone (585) 473-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO8286-9 | Other | NY | WORK COMP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000186 | NY | Practitioner - Chiropractic | 1456528249 | Practice locations: Rochester, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
771 Winton Rd S
Rochester, NY 14618-1603
Phone (585) 437-5920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008286-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821137431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 WINTON RD S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181603",
"telephone_number": "585-473-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 WINTON RD S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181603",
"telephone_number": "585-473-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOCH",
"first_name": "DAVID",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008286-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP #",
"identifier": "CO8286-9",
"state": "NY"
}
],
"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 Jul 8, 2007; 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.