Scott Richard San Angelo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010929 Issued in NY

Practice address

220W Main St
Falconer, NY 14733-1616

Phone

(716) 665-5563

Fax

(716) 665-5564

NPI assigned

Oct 24, 2006

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Associates of RochesterGroup PAC ID 3476655275, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Associates of Rochester

  • Sports Physician Chiropractor
  • Rochester, NY
  • NPI 1407960743
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1932283405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147330415",
            "telephone_number": "716-665-5563",
            "fax_number": "716-665-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220W MAIN ST",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147331616",
            "telephone_number": "716-665-5563",
            "fax_number": "716-665-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN ANGELO",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8812699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Kruse, M.S.CCC/SLP-L
• Marah Micek
• James Mitchener, DDS
• Francis Bruno Oliva, R.PH.
• Shelby Rauh
• Stacy J Seager, LPN
• Carrie Shuler, C.O.T.A.
• Southern Tier Family Dentistry, PC
• Winchester Stuart
• Matthew Titus, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.