Wny Muscle & Joint Performance Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011953-1 Issued in NY

Legal business name

WNY MUSCLE & JOINT PERFORMANCE CHIROPRACTIC, PLLC

Practice address

390 S Youngs Rd
Williamsville, NY 14221-7030

Phone

(716) 629-3100

Fax

(716) 629-3199

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Lee Phipps Jr., D.C.

Title

Clinic Director/Chiropractor

Phone

(716) 629-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1184923815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217030",
            "telephone_number": "716-629-3100",
            "fax_number": "716-629-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217030",
            "telephone_number": "716-629-3100",
            "fax_number": "716-629-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY MUSCLE & JOINT PERFORMANCE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "716-629-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.