HEALTHSOURCE CHIROPRACTIC
NPI 1245479435
Chiropractor - Sports Physician in Rochester, NY
About Healthsource Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE CHIROPRACTIC (NPI 1245479435) is a healthcare organization registered as a sports physician in Rochester, New York and active in the NPI registry since February 2009. The organization lists Donald R Dudley, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthsource Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Healthsource Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Drd Healthsource Chiropractic PLLC's NPI number?
The NPI number for Drd Healthsource Chiropractic PLLC is 1245479435. It was assigned to this organization in the NPPES registry on February 11, 2009. The provider is doing business as Healthsource Chiropractic.
Where is Drd Healthsource Chiropractic PLLC located?
Drd Healthsource Chiropractic PLLC is located at 90 Erie Canal Dr Suite D, Rochester, NY 14626. The listed phone number is (585) 225-6430.
What is Drd Healthsource Chiropractic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Drd Healthsource Chiropractic PLLC enrolled in Medicare?
Yes. Drd Healthsource Chiropractic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Drd Healthsource Chiropractic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Chiropractic, reassign their Medicare billing to Drd Healthsource Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Drd Healthsource Chiropractic PLLC was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Healthsource Chiropractic · NPI 1245479435
Sports Physician organization in Rochester, New York. Organization record, active in the CMS NPPES registry since February 11, 2009.
## Identity
- **NPI:** 1245479435 (Entity type: Organization)
- **Enumerated:** February 11, 2009
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Legal business name:** Drd Healthsource Chiropractic Pllc
- **Organization subpart:** No
- **Authorized official:** Donald Dudley, CHIROPRACTOR
## Practice location
- **Address:** 90 ERIE CANAL DR, SUITE D, Rochester, NY 14626-4610
- **Phone:** (585) 225-6430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2009
- **Other identifiers:** Other 7067356 (NY); Other C09170-4 (NY); Other 106032AN; and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1245479435) · Data from the CMS NPPES public registry.