Dodge Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NY010367 Issued in NY

Legal business name

DODGE CHIROPRACTIC, PLLC

Practice address

7700 Pittsford Palmyra Rd
Fairport, NY 14450-9590

Phone

(585) 425-9820

Fax

(585) 425-8003

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By 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. Philip John Dodge Jr., D.C.NPI 1225070105

Title

Owner

Phone

(585) 425-9820

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Philip John Dodge Jr., D.C.

  • Chiropractor
  • Fairport, NY
  • NPI 1225070105
  Authorized official Same address or phone
• Kuerstin Marie Fordham-Macedo, D.C.

  • Chiropractor
  • Hampton, NH
  • NPI 1619925005
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1821297862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509590",
            "telephone_number": "585-425-9820",
            "fax_number": "585-425-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509590",
            "telephone_number": "585-425-9820",
            "fax_number": "585-425-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-425-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "NY010367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Melissa Diperna, DPT
• Joseph G Diprima, DPM FAC FAS
• Direct Link Global Services
• Ashley-Marie Divincenzo, RN
• Susan Doan
• Philip John Dodge Jr., D.C.
• Collette Marie Dodson, RN
• Toby M Doell-Carbone, R.N.
• Rebecca S Domalski, D.O.
• Susan B Dominick, RN

• Chiropractor in Fairport, NY
• Providers in Fairport, 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 11, 2007; 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.