Organization Active NPI

August J. Domenico Jr. DC

  • Chiropractor
  • Niagara Falls, NY
National Provider Identifier
1043476195
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3416 Issued in NY
Legal business name
AUGUST J. DOMENICO JR. DC
Practice address
3117 Military Rd
Niagara Falls, NY 14304-4813
Phone
(716) 433-1322
Fax
(716) 433-0322
NPI assigned
Jul 29, 2008
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. August J Domenico, DCNPI 1508818329
Title
Owner
Phone
(716) 433-1322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3416 NY Primary

Addresses

Primary practice location

3117 Military Rd
Niagara Falls, NY 14304-4813

Mailing address

12 Market St
Lockport, NY 14094-2914
Phone (716) 433-1322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060119000073 NY Part B Supplier - Clinic/Group Practice 2264456102 Receives reassigned benefits from 6 practitioners
Practice locations: Lockport, NY; Niagara Falls, NY

National Provider Directory

National Provider Directory

Locations

12 Market St
Lockport, NY 14094
Phone (716) 433-1322

6612 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-1322

3000 Military Rd
Niagara Falls, NY 14304
Phone (716) 298-5611

3117 Military Rd
Niagara Falls, NY 14304
Phone (716) 257-1254

6400 Edgewood Dr
Niagara Falls, NY 14304
Phone (716) 298-3550

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1043476195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARKET ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140942914",
            "telephone_number": "716-433-1322",
            "fax_number": "716-433-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-433-1322",
            "fax_number": "716-433-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST J. DOMENICO JR. DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DOMENICO",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-433-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2008; 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.

Verify at the official NPI Registry.