Individual provider Active NPI

Heather Marie Monin, D.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1265567358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0111871 Issued in NY
Practice address
656 Elmwood Ave
Buffalo, NY 14222-1836
Phone
(716) 883-0515
Fax
(716) 883-8764
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0111871 NY Primary

Addresses

Primary practice location

656 Elmwood Ave
Buffalo, NY 14222-1836

Mailing address

509 Meadow Dr
West Seneca, NY 14224-1517
Phone (716) 867-8784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313002200 NY Practitioner - Chiropractic 5395267801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Chiropractic Wellness PLLCGroup PAC ID 3173969789, 2 clinicians

Practice addresses (Care Compare)

6778 Erie Rd
Derby, NY 14047-9672
Phone (716) 947-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0111871NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Chiropractic Wellness PLLC Chiropractor CurrentSince Apr 1, 2025 Accepting new patients

Locations

6778 Erie Rd
Derby, NY 14047
Phone (716) 947-5106

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265567358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEADOW DR",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241517",
            "telephone_number": "716-867-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221836",
            "telephone_number": "716-883-0515",
            "fax_number": "716-883-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0111871",
            "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 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.

Verify at the official NPI Registry.