Buffalo Family Chiropractic Wellness, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0117321 Issued in NY

Legal business name

BUFFALO FAMILY CHIROPRACTIC WELLNESS, P.C.

Practice address

369 Delaware Ave
Buffalo, NY 14202-1601

Phone

(716) 854-1563

Fax

(716) 854-1567

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Kathleen Henneberger, D.C.NPI 1265665053

Title

Chiropractor/President

Phone

(716) 854-1563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Lynn Henneberger, D.C.

  • Chiropractor
  • Buffalo, NY
  • NPI 1265665053
  Medicare reassignment NPD Authorized official
• Scott Aaron Croce, DC

  • Independent Medical Examiner Chiropractor
  • Buffalo, NY
  • NPI 1700026408
  NPD
• Rachel Brooks Fashano, DC

  • Chiropractor
  • Buffalo, NY
  • NPI 1639382724
  NPD (past)
• Jodi L Kennedy, D.C.

  • Rehabilitation Chiropractor
  • Mahopac, NY
  • NPI 1679784649
  NPD (past)
• Brian M McCourt, D.C

  • Chiropractor
  • West Seneca, NY
  • NPI 1255388617
  NPD (past)
• Millicent Marie Thomas-Hall, NP

  • Adult Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1467760488
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1124338074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021601",
            "telephone_number": "716-854-1563",
            "fax_number": "716-854-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021601",
            "telephone_number": "716-854-1563",
            "fax_number": "716-854-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO FAMILY CHIROPRACTIC WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "HENNEBERGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "716-854-1563",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0117321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Center for Life Enhancement
• Buffalo Chiropractic & Physical Therapy, PLLC
• Buffalo Community Health Center
• Buffalo Dental Smile Design PC
• Buffalo Doula Services LLC
• Buffalo Federation of Neighborhood Centers Inc.
• Buffalo General Hospital
• Buffalo General Hospital
• Buffalo Guidance Group
• Buffalo HC Services Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.