Active NPI
Odell Family Chiropractic PC
- Chiropractor
- Webster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006229
- Legal business name
- ODELL FAMILY CHIROPRACTIC PC
- Practice address
- 853 Ridge Rd
Webster, NY 14580-2550 - Phone
- (585) 671-9210
- NPI assigned
- Apr 13, 2007
- Last updated
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Norman O'Dell
- Title
- President
- Phone
- (585) 671-9210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006229 | NY | Primary |
Addresses
Primary practice location
853 Ridge Rd
Webster, NY 14580-2550
Mailing address
853 Ridge Rd
Webster, NY 14580-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102013AN | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24 High St
Fairport, NY 14450
Phone (585) 377-8980
144 Metro Park
Rochester, NY 14623
Phone (585) 671-9210
2122 E Henrietta Rd
Rochester, NY 14623
Phone (585) 671-9210
428 White Spruce Blvd
Rochester, NY 14623
Phone (585) 272-1480
476 W Ridge Rd
Rochester, NY 14615
Phone (585) 671-9210
853 Ridge Rd
Webster, NY 14580
Phone (585) 671-9210
Practitioners & affiliated clinicians
Practitioners 12
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1952525578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802550",
"telephone_number": "585-671-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODELL FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "O'DELL",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-671-9210",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "006229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102013AN",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.