NICHOLAS O'DELL
NPI 1013633130
Chiropractor in Webster, NY

Active since October 19, 2022
853 RIDGE RD, WEBSTER, NY 14580(585) 671-9210(585) 671-0018 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas O'dell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS O'DELL (NPI 1013633130) is an individual chiropractor in Webster, New York, licensed in New York (0013666) and active in the NPI registry since October 2022. He maintains a secondary practice location in Rochester and is a graduate of New York Chiropractic College (2022).

NPPES Registry Identity

NPI1013633130
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNICHOLAS O'DELL
Location Address853 RIDGE RDWebster, NY 14580-2550
Mailing Address853 Ridge RdWebster, NY 14580-2550 · (585) 671-9210 · Fax (585) 671-0018
Fax(585) 671-0018
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2022
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
NPI 1013633130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · 0013666
Definition
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.
853 RIDGE RD, Webster, NY 14580

Secondary Practice Location 1

Location 1144 Metro ParkRochester, NY 14623-2653 · Phone (585) 671-9210 · Fax (585) 671-0018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas O'dell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911379128
PECOS Enrollment IDI20230217000162

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
853 RIDGE RD
WEBSTER, NY 14580
Chiropractor
853 RIDGE RD
WEBSTER, NY 14580
Chiropractor
853 RIDGE RD
WEBSTER, NY 14580
Chiropractor
853 RIDGE RD
WEBSTER, NY 14580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas O'dell's NPI number?

The NPI number for Nicholas O'dell is 1013633130. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Nicholas O'dell located?

Nicholas O'dell practices at 853 Ridge Rd, Webster, NY 14580. The listed phone number is (585) 671-9210.

What is Nicholas O'dell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicholas O'dell enrolled in Medicare?

Yes. Nicholas O'dell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas O'dell was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.