NPIMap

Organization Active NPI

Village Chiropractic Sports & Family, PC

  • Chiropractor
  • Cattaraugus, NY
National Provider Identifier
1093019176
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006035 Issued in NY
Legal business name
VILLAGE CHIROPRACTIC SPORTS & FAMILY, PC
Practice address
31 South St
Cattaraugus, NY 14719-1223
Phone
(716) 257-5300
Fax
(716) 257-1352
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Craig F. Lisjak, DC
Title
President/Owner
Phone
(716) 257-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006035 NY Primary

Addresses

Primary practice location

31 South St
Cattaraugus, NY 14719-1223

Mailing address

31 South St
Cattaraugus, NY 14719-1223
Phone (716) 257-5300

National Provider Directory

National Provider Directory

Locations

113 Main St
Salamanca, NY 14779
Phone (716) 265-2005

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1093019176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SOUTH ST",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147191223",
            "telephone_number": "716-257-5300",
            "fax_number": "716-257-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SOUTH ST",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147191223",
            "telephone_number": "716-257-5300",
            "fax_number": "716-257-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHIROPRACTIC SPORTS & FAMILY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "LISJAK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-257-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cattaraugus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.