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ROBERT DANA DETRICK D.C.
NPI 1508972647
Chiropractor in Vestal, NY

Active since August 22, 2006Accepts Medicare Assignment
601 GATES RD, VESTAL, NY 13850(607) 766-9600(607) 766-9601 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert Dana Detrick D.c. NPPES

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

ROBERT DANA DETRICK D.C. (NPI 1508972647) is an individual chiropractor in Vestal, New York, licensed in New York (X009577-1) and active in the NPI registry since August 2006. He is a graduate of New York Chiropractic College (1999).

NPPES Registry Identity

NPI1508972647
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameROBERT DANA DETRICKCredential: D.C.
Location Address601 GATES RDVestal, NY 13850-2288
Mailing Address1461 Sunnyside RdNichols, NY 13812-2803 · (814) 558-0521
Phone(607) 766-9600
Fax(607) 766-9601
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 1999
Enumeration DateAugust 22, 2006
Last NPPES UpdateDecember 23, 2015
✔ NPI 1508972647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X009577-1
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.
601 GATES RD, Vestal, NY 13850
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Other Identifiers 1

Medicare UPINU80013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Dana Detrick 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 ID6204000243
PECOS Enrollment IDI20111201000014

Medicare Billing Reassignment

Medicare enrollment records show Robert Detrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Detrick Family Chiropractic PLLC
Same address
Chiropractor
601 GATES RD
Vestal, NY 13850
  • Reassigned Medicare billing, New York enrollment
NPI 1750636056 (607) 766-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
332 services26 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
122 services13 patients

Other Providers at the Same Location NPPES

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

DETRICK FAMILY CHIROPRACTIC PLLC
Chiropractor
601 GATES RD
VESTAL, NY 13850
Broome County (607) 766-9600

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 Robert Detrick's NPI number?

The NPI number for Robert Detrick is 1508972647. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Robert Detrick located?

Robert Detrick practices at 601 Gates Rd, Vestal, NY 13850. The listed phone number is (607) 766-9600.

What is Robert Detrick's specialty?

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

Is Robert Detrick enrolled in Medicare?

Yes. Robert Detrick 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.

Which organization bills Medicare for Robert Detrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Detrick reassigns Medicare benefits to Detrick Family Chiropractic PLLC (Vestal, NY). The 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 Robert Detrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Detrick was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.