Genesee Country Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GENESEE COUNTRY CHIROPRACTIC PLLC

Practice address

7133 W Main Rd Ste 1
Le Roy, NY 14482-9380

Phone

(585) 639-4652

Fax

(585) 510-4527

NPI assigned

Feb 20, 2023

Last updated

Apr 26, 2024By 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

Shannon Lee BonczykNPI 1043653652

Title

Owner

Phone

(585) 639-4652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Shannon Lee Bonczyk, D.C.

  • Chiropractor
  • Le Roy, NY
  • NPI 1043653652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1932807955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 W MAIN RD STE 1",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829380",
            "telephone_number": "585-813-5157",
            "fax_number": "585-510-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 W MAIN RD STE 1",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829380",
            "telephone_number": "585-639-4652",
            "fax_number": "585-510-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Metro Park Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146232653",
            "country_code": "US",
            "telephone_number": "585-639-4652",
            "fax_number": "585-510-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESEE COUNTRY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-04-26",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BONCZYK",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-639-4652"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric L Gahagan, PT
• Robin Marie Gardner, LPN
• Colleen M Garner, R.N.
• Susan K Garrett, LPN
• Gav and Associates, LLC
• Christine Angela Gephart, LCSW-R
• Jeffery Dale Gephart
• Barbara J Gillard
• Melissa M Green
• Linda Grinstead, PT

• Chiropractor in Le Roy, NY
• Providers in Le Roy, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.