Organization Active NPI

Grand Island Chiropractic PC

  • Chiropractor
  • Grand Island, NY
National Provider Identifier
1154497121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009041 Issued in NY
Legal business name
GRAND ISLAND CHIROPRACTIC PC
Practice address
2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone
(716) 773-2222
Fax
(866) 907-6157
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas J Notaro, D.C.NPI 1922111236
Title
Chiropractor Owner
Phone
(716) 773-2222

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009041 NY Primary

Addresses

Primary practice location

2283 Grand Island Blvd
Grand Island, NY 14072-1819

Mailing address

2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone (716) 773-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070129000350 NY Part B Supplier - Clinic/Group Practice 1153322466 Receives reassigned benefits from 8 practitioners
Practice locations: East Amherst, NY; Grand Island, NY; Niagara Falls, NY; Williamsville, NY

National Provider Directory

National Provider Directory

Locations

4754 N French Rd
East Amherst, NY 14051
Phone (716) 688-8815

2283 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 580-3044

3868 E Robinson Rd
West Amherst, NY 14228
Phone (716) 564-2225

950 Maple Rd
Williamsville, NY 14221
Phone (716) 580-3044

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154497121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721819",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721819",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ISLAND CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOTARO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "716-773-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.