Individual provider Active NPI

Sarah Mizzoni, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1821463316
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012750 Issued in NY
Practice address
550 Latona Rd
Building C Suite 303
Rochester, NY 14626-2700
Phone
(781) 733-3335
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012750 NY Primary

Addresses

Primary practice location

550 Latona Rd
Building C Suite 303
Rochester, NY 14626-2700

Mailing address

550 Latona Rd
Building C Suite 303
Rochester, NY 14626-2700
Phone (781) 733-3335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001269 MA Practitioner - Chiropractic 6305124314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Chiropractic, LLCGroup PAC ID 4688085996, 2 clinicians

Practice addresses (Care Compare)

1 Saint Mark St
Suite B
Auburn, MA 01501-3255
Phone (774) 530-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Chiropractic, LLC Chiropractor CurrentSince Jun 3, 2024 Accepting new patients
Page Enterprises Inc Chiropractor PastSince Oct 3, 2016 Accepting new patients

Locations

1 Saint Mark St
Ste B
Auburn, MA 01501
Phone (774) 530-6301

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1821463316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LATONA RD",
            "address_2": "BUILDING C SUITE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262700",
            "telephone_number": "781-733-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 LATONA RD",
            "address_2": "BUILDING C SUITE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262700",
            "telephone_number": "781-733-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZZONI",
        "first_name": "SARAH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012750",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2015; 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.