Organization Active NPI

Clothier Chiropractic PLLC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1831966464
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLOTHIER CHIROPRACTIC PLLC
Practice address
3173 Chili Ave Ste 100
Rochester, NY 14624-5400
Phone
(716) 912-9666
Fax
(585) 319-4376
NPI assigned
Dec 4, 2023
Organization subpart
Yes
Parent organization
CLOTHIER CHIROPRACTIC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Susann Clothier, DCNPI 1871862995
Title
Owner
Phone
(716) 912-9666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3173 Chili Ave Ste 100
Rochester, NY 14624-5400

Mailing address

31 Ranch Village LN
Rochester, NY 14624-2856
Phone (716) 912-9666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617000306 NY Part B Supplier - Clinic/Group Practice 8729521919 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Part of
Clothier Chiropractic PLLC

Locations

3173 Chili Ave
Ste 100
Rochester, NY 14624
Phone (585) 889-6092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1831966464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RANCH VILLAGE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242856",
            "telephone_number": "716-912-9666",
            "fax_number": "585-319-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 CHILI AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245400",
            "telephone_number": "716-912-9666",
            "fax_number": "585-319-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOTHIER CHIROPRACTIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLOTHIER CHIROPRACTIC PLLC",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "SUSANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-912-9666",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 4, 2023; 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.