NPIMap

Organization Active NPI

Safe Harbor Chiropractic, P.C.

  • Chiropractor
  • Hamburg, NY
National Provider Identifier
1316089923
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009177 Issued in NY
Legal business name
SAFE HARBOR CHIROPRACTIC, P.C.
Practice address
4390 Quinby Dr
Suite J
Hamburg, NY 14075-7900
Phone
(716) 648-7613
Fax
(716) 648-7631
NPI assigned
Feb 12, 2007
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Kelly A Chwojdak, DCNPI 1508962697
Title
Owner
Phone
(716) 648-7613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009177 NY Primary

Addresses

Primary practice location

4390 Quinby Dr
Suite J
Hamburg, NY 14075-7900

Mailing address

4390 Quinby Dr
Suite J
Hamburg, NY 14075-7900
Phone (716) 648-7613

National Provider Directory

National Provider Directory

Locations

4390 Quinby Dr
Ste G
Hamburg, NY 14075
Phone (716) 648-7613

4390 Quinby Dr
Ste J
Hamburg, NY 14075
Phone (716) 648-7613

Practitioners & affiliated clinicians

Practitioners 1

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1316089923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 QUINBY DR",
            "address_2": "SUITE J",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757900",
            "telephone_number": "716-648-7613",
            "fax_number": "716-648-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 QUINBY DR",
            "address_2": "SUITE J",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757900",
            "telephone_number": "716-648-7613",
            "fax_number": "716-648-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "CHWOJDAK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-648-7613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.