Active NPI
Dr. Ricky Sam Cavallaro Family Chiropractor PLLC
- Chiropractor
- Syracuse, NY
National Provider Identifier
1972259653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC
- Practice address
- 100 Osceola Rd
Syracuse, NY 13209-1242 - Phone
- (315) 487-5200
- NPI assigned
- Feb 22, 2022
- 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. Ricky Sam Cavallaro
- Title
- President
- Phone
- (315) 487-5200
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 | Primary |
Addresses
Primary practice location
100 Osceola Rd
Syracuse, NY 13209-1242
Mailing address
100 Osceola Rd
Syracuse, NY 13209-1242
Phone (315) 487-5200
Other names 1
- Cavallaro Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Cavallaro Family Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Syracuse, NY
- NPI 1649565664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Syracuse, NY
- NPI 1295809671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1972259653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OSCEOLA RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132091242",
"telephone_number": "315-487-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OSCEOLA RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132091242",
"telephone_number": "315-487-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "CAVALLARO",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-487-5200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cavallaro Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.