Individual provider Active NPI

Christopher J Sigillo, DC

  • Chiropractor
  • Brockport, NY
National Provider Identifier
1902907918
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008823 Issued in NY
Practice address
54 N Main St
Brockport, NY 14420-1649
Phone
(585) 637-3630
Fax
(585) 637-3641
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008823 NY Primary

Addresses

Primary practice location

54 N Main St
Brockport, NY 14420-1649

Mailing address

18 Graves St
Brockport, NY 14420-1206
Phone (585) 637-3630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000991 NY Practitioner - Chiropractic 2961455803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Graves St
Brockport, NY 14420-1206
Phone (585) 637-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008823NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sigillo Chiropractic PC Chiropractor CurrentSince Jan 31, 2005 Accepting new patients

Locations

54 N Main St
Brockport, NY 14420
Phone (585) 637-0730

70 N Main St
Brockport, NY 14420
Phone (585) 385-4867

18 Graves St
Brockport, NY 14420
Phone (585) 637-3630

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1902907918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GRAVES ST",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201206",
            "telephone_number": "585-637-3630",
            "fax_number": "585-637-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N MAIN ST",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201649",
            "telephone_number": "585-637-3630",
            "fax_number": "585-637-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGILLO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.