Michelle Gaebel Dodge, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012414 Issued in NY

Practice address

8479 Ridge Rd
Sodus, NY 14551-9569

Phone

(315) 498-0243

NPI assigned

Sep 12, 2013

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Marie Walsemann Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• MG Dodge Chiropractic, PC

  • Chiropractor
  • Sodus, NY
  • NPI 1942771092
  Medicare reassignment NPD Authorized official
• Dodge Delancey Chiropractic

  • Preferred Provider Organization
  • Sodus, NY
  • NPI 1639598741
  NPD (past) Authorized official

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1831524503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 RIDGE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519569",
            "telephone_number": "315-498-0243",
            "fax_number": "315-498-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 RIDGE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519569",
            "telephone_number": "315-498-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8461 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sodus",
            "state": "NY",
            "postal_code": "145519569",
            "country_code": "US",
            "telephone_number": "315-498-0243",
            "fax_number": "315-498-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODGE",
        "first_name": "MICHELLE",
        "middle_name": "GAEBEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WALSEMANN",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sherita Davis, LPN
• Rowena Perez Dela Rosa
• Sierra Demarree, DMD
• Kristy Dirlam, M.A., CCC-SLP
• Dodge Delancey Chiropractic
• Manal Elesily, HYG
• Richard F Endres, M.D.
• Shanton L Faniel
• Finger Lakes Community Health
• Helen Anne Furber

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.