Kevin P Phalen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010360-1 Issued in NY

Practice address

2140 Eggert Rd
Suite B
Amherst, NY 14226-2055

Phone

(716) 832-1818

Fax

(716) 832-7815

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Living Chiropractic, LLCGroup PAC ID 0345415204, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Living Chiropractic, LLC

  • Chiropractor
  • Amherst, NY
  • NPI 1396724480
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1043299167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 EGGERT RD",
            "address_2": "SUITE B",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262055",
            "telephone_number": "716-832-1818",
            "fax_number": "716-832-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 EGGERT RD",
            "address_2": "SUITE B",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262055",
            "telephone_number": "716-832-1818",
            "fax_number": "716-832-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010360-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter M Plinke D.C., P.C.
• Lauren Petroziello, PHARMD
• Shane Tyler Pettis
• Amy Pfeffer, LCSW
• Emily L Pfentner, FNP
• David Phillips, DO
• Rebecca Suzanne Phillips, MD
• Phoenix Physical Therapy Services, P.C.
• Alena Piccillo
• Karen Mae Pickard, SLP

• Chiropractor in Amherst, NY
• Providers in Amherst, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.