Active NPI
Claude David Guerra, DC
- Chiropractor
- Albany, NY
National Provider Identifier
1174635338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007737
- Practice address
- 2016 Central Ave
Albany, NY 12205 - Phone
- (518) 869-7993
- Fax
- (518) 869-3200
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007737 | NY | Primary |
Addresses
Primary practice location
2016 Central Ave
Albany, NY 12205
Mailing address
2016 Central Ave
Albany, NY 12205
Phone (518) 869-7993
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144367905 | Other | NY | PROFF CORP NPI |
| C077372 | Other | NY | WC |
| BA1004 | Other | NY | PROF CORP MEDICARE ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070227000440 | NY | Practitioner - Chiropractic | 1254433949 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2016 Central Ave
Albany, NY 12205-4502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007737 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174635338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-7993",
"fax_number": "518-869-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-7993",
"fax_number": "518-869-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "CLAUDE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFF CORP NPI",
"identifier": "1144367905",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC",
"identifier": "C077372",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF CORP MEDICARE ID#",
"identifier": "BA1004",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.