Active NPI
Kevin Morreale
- Chiropractor
- Williamsville, NY
National Provider Identifier
1023417763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012551
- Practice address
- 131 Kingsview Rd
Williamsville, NY 14221-1719 - Phone
- (716) 480-7191
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012551 | NY | Primary |
Addresses
Primary practice location
131 Kingsview Rd
Williamsville, NY 14221-1719
Mailing address
131 Kingsview Rd
Williamsville, NY 14221-1719
Phone (716) 480-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150109001554 | NY | Practitioner - Chiropractic | 7911221437 | Practice locations: Williamsville, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012551 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1023417763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 KINGSVIEW RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211719",
"telephone_number": "716-480-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KINGSVIEW RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211719",
"telephone_number": "716-480-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORREALE",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.