Active NPI
Gerard Joseph Werder, DC
- Chiropractor
- Buffalo, NY
National Provider Identifier
1295802569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X22170
- Practice address
- 253 W Utica St
Buffalo, NY 14222-2019 - Phone
- (716) 884-3019
- Fax
- (716) 884-1300
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X22170 | NY | Primary |
Addresses
Primary practice location
253 W Utica St
Buffalo, NY 14222-2019
Mailing address
253 W Utica St
Buffalo, NY 14222-2019
Phone (716) 884-3019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000443 | NY | Practitioner - Chiropractic | 8123295227 | Practice locations: Buffalo, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
253 W Utica St
Buffalo, NY 14222-2019
Phone (716) 884-3019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X22170 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295802569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 W UTICA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222019",
"telephone_number": "716-884-3019",
"fax_number": "716-884-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 W UTICA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222019",
"telephone_number": "716-884-3019",
"fax_number": "716-884-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERDER",
"first_name": "GERARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X22170",
"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.