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DERLETH CHIROPRACTIC PLLC
NPI 1689818668
Chiropractor in Fairport, NY

Active since April 22, 2009
1387 FAIRPORT RD, SUITE 640, FAIRPORT, NY 14450(585) 598-3535(585) 598-3534 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derleth Chiropractic Pllc NPPES

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

DERLETH CHIROPRACTIC PLLC (NPI 1689818668) is a healthcare organization registered as a chiropractor in Fairport, New York and active in the NPI registry since April 2009. The organization lists Paula Mary Derleth, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1689818668
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDERLETH CHIROPRACTIC PLLC
Location Address1387 FAIRPORT RD, SUITE 640Fairport, NY 14450-2003
Mailing Address1387 Fairport Rd, Suite 640Fairport, NY 14450-2003 · (585) 598-3535 · Fax (585) 598-3534
Phone(585) 598-3535
Fax(585) 598-3534
Organization SubpartNo
Authorized OfficialPaula Mary DerlethOwner/chiropractor · (585) 598-3535
Enumeration DateApril 22, 2009
✔ NPI 1689818668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 011622
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.
1387 FAIRPORT RD, Fairport, NY 14450
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derleth Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Derleth Chiropractic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Philip Derleth, D.C.
Chiropractic
NPI 1659696771
1387 FAIRPORT RD SUITE 640
Fairport, NY 14450
(585) 598-3535
✔ Accepts MedicareSame address
Paula Derleth, D.C.
Chiropractic
NPI 1366602369
2 EDENFIELD RD
Penfield, NY 14526
(585) 746-0453
✔ Accepts Medicare3.4 mi

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 Derleth Chiropractic PLLC's NPI number?

The NPI number for Derleth Chiropractic PLLC is 1689818668. It was assigned to this organization in the NPPES registry on April 22, 2009.

Where is Derleth Chiropractic PLLC located?

Derleth Chiropractic PLLC is located at 1387 Fairport Rd Suite 640, Fairport, NY 14450. The listed phone number is (585) 598-3535.

What is Derleth Chiropractic PLLC's specialty?

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

Is Derleth Chiropractic PLLC enrolled in Medicare?

Yes. Derleth Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derleth Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Derleth 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 2 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 Derleth Chiropractic PLLC was last updated on April 22, 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.