Individual provider Active NPI

Damian Daniel Redlinski, D.C.

  • Chiropractor
  • West Seneca, NY
National Provider Identifier
1265432702
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002101-1 Issued in NY
Practice address
4253 Seneca St
West Seneca, NY 14224-3144
Phone
(716) 675-0860
Fax
(716) 675-5834
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 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 X002101-1 NY Primary

Addresses

Primary practice location

4253 Seneca St
West Seneca, NY 14224-3144

Mailing address

4253 Seneca St
West Seneca, NY 14224-3144
Phone (716) 675-0860

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
X002101-1NYMDChiropractor
002101NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1265432702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243144",
            "telephone_number": "716-675-0860",
            "fax_number": "716-675-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243144",
            "telephone_number": "716-675-0860",
            "fax_number": "716-675-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLINSKI",
        "first_name": "DAMIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002101-1",
            "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 Nov 29, 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.