Active NPI
Peak Chiropractic of Rochester
- Chiropractor
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012367
- Legal business name
- PEAK CHIROPRACTIC OF ROCHESTER
- Doing business as
- Peak Chiropractic of Rochester
- Practice address
- 1655 Elmwood Ave
Suite 235
Rochester, NY 14620-3429 - Phone
- (585) 444-7325
- Fax
- (585) 991-6656
- NPI assigned
- Dec 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J Penkin, DC
- Title
- Co-Owner/Operator
- Phone
- (585) 444-7325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012367 | NY | Primary |
Addresses
Primary practice location
1655 Elmwood Ave
Suite 235
Rochester, NY 14620-3429
Mailing address
1655 Elmwood Ave
Suite 235
Rochester, NY 14620-3429
Phone (585) 444-7325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063852390 | Other | NY | NPI |
| 1437558129 | Other | NY | NPI |
Other names 1
- Peak Chiropractic of Rochester
National Provider Directory
National Provider DirectoryLocations
1655 Elmwood Ave
Ste 235
Rochester, NY 14620
Phone (585) 444-7325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Rochester, NY
- NPI 1063852390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485993600000",
"number": "1861899973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 ELMWOOD AVE",
"address_2": "SUITE 235",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203429",
"telephone_number": "585-444-7325",
"fax_number": "585-991-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 ELMWOOD AVE",
"address_2": "SUITE 235",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203429",
"telephone_number": "585-444-7325",
"fax_number": "585-991-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK CHIROPRACTIC OF ROCHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-04",
"last_updated": "2017-02-02",
"status": "A",
"authorized_official_last_name": "PENKIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CO-OWNER/OPERATOR",
"authorized_official_telephone_number": "585-444-7325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "012367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1063852390",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437558129",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Chiropractic of Rochester",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.