Organization Active NPI

Demarco Chiropractic PLLC

  • Chiropractor
  • Depew, NY
National Provider Identifier
1285060913
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008282 Issued in NY
Legal business name
DEMARCO CHIROPRACTIC PLLC
Practice address
4976 Transit Rd
Depew, NY 14043-4616
Phone
(716) 586-4000
Fax
(716) 586-3999
NPI assigned
Sep 26, 2013
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Lisa Ann Demarco, DCNPI 1225019532
Title
Sole Member
Phone
(716) 586-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008282 NY Primary

Addresses

Primary practice location

4976 Transit Rd
Depew, NY 14043-4616

Mailing address

4976 Transit Rd
Depew, NY 14043-4616
Phone (716) 586-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010001054 NY Part B Supplier - Clinic/Group Practice 0749414555 Receives reassigned benefits from 2 practitioners
Practice locations: Depew, NY

National Provider Directory

National Provider Directory

Locations

4976 Transit Rd
Depew, NY 14043
Phone (716) 681-9242

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1285060913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434616",
            "telephone_number": "716-586-4000",
            "fax_number": "716-586-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434616",
            "telephone_number": "716-586-4000",
            "fax_number": "716-586-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMARCO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-586-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "008282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.