Healthcare Provider Details

I. General information

NPI: 1407960743
Provider Name (Legal Business Name): CHIROPRACTIC ASSOCIATES OF ROCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 RIDGE RD E
ROCHESTER NY
14622-2157
US

IV. Provider business mailing address

1738 RIDGE RD E
ROCHESTER NY
14622-2157
US

V. Phone/Fax

Practice location:
  • Phone: 585-544-1540
  • Fax: 585-544-1580
Mailing address:
  • Phone: 585-544-1540
  • Fax: 585-544-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009575
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberX009968
License Number StateNY

VIII. Authorized Official

Name: DR. COLBY M SHORES
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 585-544-1540