Organization Active NPI

Odell Family Chiropractic PC

  • Chiropractor
  • Webster, NY
National Provider Identifier
1952525578
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006229 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Norman O'DellNPI 1831236926
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102013ANOtherNYPREFERRED CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000058 NY Part B Supplier - Clinic/Group Practice 3173603768 Receives reassigned benefits from 5 practitioners
Practice locations: Rochester, NY; Webster, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.