DR. DONALD R. DUDLEY D.C.
NPI 1033145115
Chiropractor - Sports Physician in Rochester, NY

Q: What is Donald Dudley's NPI number?

The NPI number for Donald Dudley is 1033145115. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Donald Dudley's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Donald Dudley was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 23, 2006Accepts Medicare Assignment

90 ERIE CANAL DR, SUITE D, ROCHESTER, NY 14626(585) 225-6430(585) 225-9636 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Donald R. Dudley D.c. NPPES

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

DR. DONALD R. DUDLEY D.C. (NPI 1033145115) is an individual sports physician in Rochester, New York, licensed in New York (X009170) and active in the NPI registry since June 2006. He is a graduate of New York Chiropractic College (1998).

NPPES Registry Identity

NPI1033145115

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. DONALD R. DUDLEYCredential: D.C.

Location Address90 ERIE CANAL DR, SUITE DRochester, NY 14626-4601

Mailing Address90 Erie Canal Dr, Suite DRochester, NY 14626-4601 · (585) 225-6430 · Fax (585) 225-9636

Phone(585) 225-6430

Fax(585) 225-9636

Sole ProprietorNo

Medical School CMSNew York Chiropractic CollegeGraduated 1998

Enumeration DateJune 23, 2006

Last NPPES UpdateSeptember 6, 2023

✔ NPI 1033145115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in NY · X009170

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

90 ERIE CANAL DR, Rochester, NY 14626

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Other Identifiers 1

OtherC09170-4NY · Workers Comp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald R. Dudley D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133100548

PECOS Enrollment IDI20040601000172

Other Providers at the Same Location NPPES 5

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

MICHELE & RICHARD JAMISON, M.D.'S, P.C.

Ophthalmology

90 ERIE CANAL DR, SUITE A
ROCHESTER, NY 14626

Monroe County (585) 225-5883

DR. MICHELE A JAMISON MD

Ophthalmology

90 ERIE CANAL DR
ROCHESTER, NY 14626

Monroe County (585) 225-5883

DRD HEALTHSOURCE CHIROPRACTIC PLLC

Chiropractor (Sports Physician)

90 ERIE CANAL DR, SUITE D
ROCHESTER, NY 14626

Monroe County (585) 225-6430

RICHARD R JAMISON MD

Ophthalmology

90 ERIE CANAL DR
ROCHESTER, NY 14626

Monroe County (585) 225-5883

GAVIA LIFECARE CENTER, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

90 ERIE CANAL DR
ROCHESTER, NY 14626

Monroe County (585) 371-6464

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 Donald Dudley's NPI number?

The NPI number for Donald Dudley is 1033145115. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Donald Dudley located?

Donald Dudley practices at 90 Erie Canal Dr Suite D, Rochester, NY 14626. The listed phone number is (585) 225-6430.

What is Donald Dudley's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Donald Dudley enrolled in Medicare?

Yes. Donald Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donald Dudley was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.