Mead Square Advanced Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010300 Issued in NY

Legal business name

MEAD SQUARE ADVANCED CHIROPRACTIC PC

Practice address

53 W Main St Ste 2
Victor, NY 14564-1198

Phone

(585) 924-3610

Fax

(585) 924-3610

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christine Ann Bellomo, DCNPI 1750477527

Title

President

Phone

(585) 924-3610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Christine Ann Bellomo, DC

  • Chiropractor
  • Victor, NY
  • NPI 1750477527
  Medicare reassignment NPD Authorized official
• Brooke Leighann Pieters

  • Chiropractor
  • Victor, NY
  • NPI 1386563955
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1841431624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST STE 2",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641198",
            "telephone_number": "585-924-3610",
            "fax_number": "585-924-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST STE 2",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641198",
            "telephone_number": "585-924-3610",
            "fax_number": "585-924-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAD SQUARE ADVANCED CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "BELLOMO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-924-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Michele McLaughlin
• Kathryne McMorrow, OTR/L
• Jody A McMullen, M.A.
• Kellie Rachelle McNair
• Erin M McWilliams, M.S.
• Mead Square Pharmacy Inc
• Mead Square Pharmacy Inc
• Jennifer Mead-Samuels, RPA-C
• Philip Scott Meaker, M.D.
• Owen Memelo, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.