Individual provider Active NPI

Keith Lewin Hosmer, DC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1184638538
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0083201 Issued in NY
Practice address
154 Cazenovia Street
Buffalo, NY 14210
Phone
(716) 824-5548
Fax
(716) 824-5549
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0083201 NY Primary

Addresses

Primary practice location

154 Cazenovia Street
Buffalo, NY 14210

Mailing address

154 Cazenovia Street
Buffalo, NY 14210
Phone (716) 824-5548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000558 NY Practitioner - Chiropractic 4183789068 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 Cazenovia St
Buffalo, NY 14210-2436
Phone (716) 824-5548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0083201NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1184638538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CAZENOVIA STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14210",
            "telephone_number": "716-824-5548",
            "fax_number": "716-824-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CAZENOVIA STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14210",
            "telephone_number": "716-824-5548",
            "fax_number": "716-824-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMER",
        "first_name": "KEITH",
        "middle_name": "LEWIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0083201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.

Verify at the official NPI Registry.