Individual provider Active NPI

Jeffrey John Cianchetti, D.C.

  • Chiropractor
  • Niagara Falls, NY
National Provider Identifier
1033216320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008193-1 Issued in NY
Practice address
2119 Sawyer Drive
Niagara Falls, NY 14304
Phone
(716) 731-3100
Fax
(716) 731-4343
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008193-1 NY Primary

Addresses

Primary practice location

2119 Sawyer Drive
Niagara Falls, NY 14304

Mailing address

2119 Sawyer Drive
Niagara Falls, NY 14304
Phone (716) 731-3100

Other identifiers 1

IdentifierTypeStateIssuer
008193OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000104 NY Practitioner - Chiropractic 8224935127 Practice locations: Niagara Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2119 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 731-3100

Hospital & facility affiliations

  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008193-1NYMDChiropractor
008193NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dave Pacana Chiropractic PC Chiropractor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey@sasc0003.direct.chirotouch.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033216320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 SAWYER DRIVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-731-3100",
            "fax_number": "716-731-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 SAWYER DRIVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-731-3100",
            "fax_number": "716-731-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCHETTI",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008193-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "008193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.