Individual provider Active NPI

Norman O Dell

  • Chiropractor
  • Webster, NY
National Provider Identifier
1831236926
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006229 Issued in NY
Practice address
853 Ridge Rd
Webster, NY 14580-2550
Phone
(585) 671-9210
Fax
(585) 671-0018
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006229 NY Primary

Addresses

Primary practice location

853 Ridge Rd
Webster, NY 14580-2550

Mailing address

19 Dangelo Dr
Webster, NY 14580-8531

Other identifiers 1

IdentifierTypeStateIssuer
102013ANOtherNYPREFERRED CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000050 NY Practitioner - Chiropractic 2466532056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Odell Family Chiropractic PCGroup PAC ID 3173603768, 3 clinicians

Practice addresses (Care Compare)

853 Ridge Rd
Webster, NY 14580-2550
Phone (585) 671-9210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
006229NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Odell Family Chiropractic PC Chiropractor CurrentSince Sep 1, 2007 Accepting new patients

Locations

853 Ridge Rd
Webster, NY 14580
Phone (585) 671-9210

Organizations & group practices 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1831236926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DANGELO DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802550",
            "telephone_number": "585-671-9210",
            "fax_number": "585-671-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O DELL",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "006229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102013AN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.