Organization Active NPI

I. Eudaimonia, Inc

  • Chiropractor
  • Niagara Falls, NY
National Provider Identifier
1306596051
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
I. EUDAIMONIA, INC
Practice address
3117 Military Rd Ste 1
Niagara Falls, NY 14304-4813
Phone
(716) 282-2225
Fax
(716) 284-0162
NPI assigned
Mar 25, 2022
Organization subpart
Yes
Parent organization
I. EUDAIMONIA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Dr. Kristin A Jacobsen, DCNPI 1477548493
Title
Doctor/Owner
Phone
(716) 282-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3117 Military Rd Ste 1
Niagara Falls, NY 14304-4813

Mailing address

3117 Military Rd Ste 1
Niagara Falls, NY 14304-4813
Phone (716) 282-2225

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mymedoffice.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421001767 NY Part B Supplier - Clinic/Group Practice 6800283821 Receives reassigned benefits from 1 practitioner
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory
Part of
I Eudaimonia Inc

Locations

3117 Military Rd
#1
Niagara Falls, NY 14304
Phone (716) 257-1254

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1306596051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-282-2225",
            "fax_number": "716-284-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-282-2225",
            "fax_number": "716-284-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. EUDAIMONIA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I. EUDAIMONIA, INC",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "716-282-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mymedoffice.com",
            "affiliation": "N",
            "endpointDescription": "allows patients to view download, upload data and communicate as well as making on line appointments",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sftp",
            "address_1": "3117 Military Rd Ste 1",
            "city": "Niagara Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "143044813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.