DR. PHILIP JOHN DODGE JR. (NPI# 1225070105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225070105 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JOHN DODGE JR. |
| Credential | D.C. |
| Practice Address |
7700 Pittsford Palmyra Rd Fairport NY 14450-9590 |
| Practice Telephone | 5854259820 |
| Mailing Telephone | 5854259820 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 010367 | NY | Chiropractic Providers |
| Street Address |
7700 PITTSFORD PALMYRA RD |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-9590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413202 | Payal Shah | Psychologist | 7700 Pittsford Palmyra Rd, Fairport, NY 14450-9590 | 2018-04-05 |
| 1821297862 | Dodge Chiropractic, Pllc | Chiropractor | 7700 Pittsford Palmyra Rd, Fairport, NY 14450-9590 | 2007-07-11 |
| 1669512448 | Leslie Stephen Mentel | Acupuncturist | 7700 Pittsford Palmyra Rd, Fairport, NY 14450-9590 | 2007-02-08 |
| 1790834398 | Tri County Chiropractic PC | Chiropractor | 7700 Pittsford Palmyra Rd, Fairport, NY 14450-9590 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624309 | Kayla Beck | Chiropractor | 213 Alpine Knl, Fairport, NY 14450-1767 | 2019-08-17 |
| 1356466338 | Kevin Michael Sommer | Chiropractor | 360 Perinton Hills Office Park, Fairport, NY 14450-3607 | 2007-03-20 |
| 1952434953 | Andrew Alexander Lazzaro | Chiropractor | 160 Packetts Lndg, Fairport, NY 14450-1570 | 2007-03-13 |
| 1063561934 | Peter Kladstrup | Chiropractor | 565 Perinton Hills Office Park, Fairport, NY 14450-3610 | 2007-01-09 |
| 1023114725 | Scott E. Spinner | Chiropractor | 790 Ayrault Rd, Suite A, Fairport, NY 14450-8901 | 2006-09-16 |
| 1851496889 | Michael Swann Sr. | Chiropractor | 800 Ayrault Rd Ste 230, Fairport, NY 14450-8941 | 2006-09-14 |
| 1902871460 | Jonathan L. Donner | Chiropractor | 6605 Pittsford Palmyra Rd, Suite E9, Fairport, NY 14450-3407 | 2006-02-20 |
| 1134113459 | Kenny H. Tsang | Chiropractor | 6800 Pittsford Palmyra Rd, Building 400, Suite 320, Fairport, NY 14450-3584 | 2005-09-01 |
| 1023019148 | Diane Lotten Garman | Chiropractor | 142 Fairport Village Lndg, Fairport, NY 14450-1804 | 2005-08-10 |
| 1467060475 | Daniel Myeongchull Shin | Chiropractor | 6800 Pittsford Palmyra Rd Ste 420, Fairport, NY 14450-3520 | 2020-07-15 |
| Find all providers in FAIRPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.