Organization Active NPI

Peak Chiropractic of Rochester

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1861899973
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012367 Issued in NY
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

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Michael J Penkin, DCNPI 1063852390
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1063852390OtherNYNPI
1437558129OtherNYNPI

Other names 1

  • Peak Chiropractic of Rochester Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.