Individual provider Active NPI

Jessica Carpio, DC

  • Chiropractor
  • West Seneca, NY
National Provider Identifier
1235881228
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013536-01 Issued in NY
Practice address
4214 Clinton St
West Seneca, NY 14224-1606
Phone
(716) 675-2225
Fax
(716) 675-2222
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013536-01 NY Primary

Addresses

Primary practice location

4214 Clinton St
West Seneca, NY 14224-1606

Mailing address

1089 Kinkead Ave Ste 211
North Tonawanda, NY 14120-2840
Phone (716) 750-5404

Other practice location 1

1089 Kinkead Ave Ste 211
North Tonawanda, NY 14120-2840
Phone (716) 750-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013536NYMDMental Health Counselor
X013536-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro First Wellness Center PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1235881228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE STE 211",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202840",
            "telephone_number": "716-750-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 CLINTON ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241606",
            "telephone_number": "716-675-2225",
            "fax_number": "716-675-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 Kinkead Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141202840",
            "country_code": "US",
            "telephone_number": "716-750-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013536-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.