Rochester Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10954 Issued in NY

Legal business name

ROCHESTER CHIROPRACTIC CLINIC

Practice address

1732 E Ridge Rd
Rochester, NY 14622-2157

Phone

(585) 266-2782

Fax

(585) 266-2785

NPI assigned

Mar 7, 2012

Last updated

Mar 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yasellyn Diaz-Vega, DCNPI 1871634139

Title

Chiropractor

Phone

(585) 266-2782

Specialties & licenses 2

Addresses

Other identifiers 9

Locations

Practitioners 2

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.

• Yasellyn Diaz-Vega, D.C.

  • Chiropractor
  • Rochester, NY
  • NPI 1871634139
  NPD (past) Authorized official
• Edwin Vega Jr., D.C.

  • Chiropractor
  • Rochester, NY
  • NPI 1447391784
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1922372028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-266-2782",
            "fax_number": "585-266-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-266-2782",
            "fax_number": "585-266-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ-VEGA",
        "authorized_official_first_name": "YASELLYN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "585-266-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "10954",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "10869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNASECOND PROVIDER",
            "identifier": "7475597",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C109548W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "P010010954",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7697600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERSCOMPENSATION2NDPROVIDER",
            "identifier": "C108698W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARESECONDPROVIDER",
            "identifier": "145441AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CAREMVP",
            "identifier": "152836AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P010010954",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD SECOND PROVIDER",
            "identifier": "P010010869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter E. Roche, LCSW-R
• Rochester Brain & Spine Group PLLC
• Rochester Cardiopulmonary Group, P.C.
• Rochester Childfirst Network
• Rochester Chiropractic Associates P.C.
• Rochester Chiropractic Group, LLP
• Rochester Chiropractic PC
• Rochester Chiropractic Spinal Rehabilitation PLLC
• Rochester City School District
• Rochester City School District

• Chiropractor in Rochester, NY
• Providers in Rochester, 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 7, 2012; 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.