John Joseph Petro III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013093 Issued in NY

Practice address

142 Bemis St
Canandaigua, NY 14424-1503

Phone

(585) 394-2030

NPI assigned

May 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Chosen Spot Chiropractic and Wellness PLLCGroup PAC ID 2163651670, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Chosen Spot Chiropractic & Wellness PLLC

  • Chiropractor
  • Canandaigua, NY
  • NPI 1144665290
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1891284154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BEMIS ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241503",
            "telephone_number": "585-394-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEMIS ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241503",
            "telephone_number": "585-394-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Peters, PHARM D
• Deanna Helene Petersen, PA-C
• Kerrie Lynn Peterson, PHARMD
• Kimberly Rose Peterson, LMSW
• Lindsey L. Peterson
• Erin Phalen, R.D., C.D.N.
• Stephanie Phenes
• Courtney Phillips, RN , IBCLC
• Dylan Phillips, MD
• Haywood Phillips Jr., LCSW-R

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.