DETRICK FAMILY CHIROPRACTIC PLLC
NPI 1750636056
Chiropractor in Vestal, NY

Active since July 23, 2012
601 GATES RD, VESTAL, NY 13850(607) 766-9600 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Detrick Family Chiropractic Pllc NPPES

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

DETRICK FAMILY CHIROPRACTIC PLLC (NPI 1750636056) is a healthcare organization registered as a chiropractor in Vestal, New York and active in the NPI registry since July 2012. The organization lists Robert Detrick, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1750636056
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDETRICK FAMILY CHIROPRACTIC PLLC
Location Address601 GATES RDVestal, NY 13850-2288
Mailing Address601 Gates RdVestal, NY 13850-2288 · (607) 766-9600
Organization SubpartNo
Authorized OfficialRobert DetrickSole Member · (607) 766-9600
Enumeration DateJuly 23, 2012
✔ NPI 1750636056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 009577
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

Other Identifiers 1

Medicare UPINU80013NY

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Detrick Family Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1508972647
601 GATES RD
Vestal, NY 13850
(607) 766-9600
✔ Accepts MedicareSame address

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 Detrick Family Chiropractic PLLC's NPI number?

The NPI number for Detrick Family Chiropractic PLLC is 1750636056. It was assigned to this organization in the NPPES registry on July 23, 2012.

Where is Detrick Family Chiropractic PLLC located?

Detrick Family Chiropractic PLLC is located at 601 Gates Rd, Vestal, NY 13850. The listed phone number is (607) 766-9600.

What is Detrick Family Chiropractic PLLC's specialty?

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

Is Detrick Family Chiropractic PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Detrick Family Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Detrick Family 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Detrick Family Chiropractic PLLC was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.