Lotus Chiropractic and Acupuncture, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LOTUS CHIROPRACTIC AND ACUPUNCTURE, PLLC

Practice address

13939 Whitney Rd
Holland, NY 14080-9792

Phone

(716) 217-0105

Fax

(716) 324-3453

NPI assigned

Jul 14, 2025

Last updated

Jul 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Ernesto Roman Perez, DCNPI 1497244461

Title

Doctor of Chiropractic

Phone

(716) 217-0105

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Rafael Ernesto Roman Perez, DC

  • Chiropractor
  • Buffalo, NY
  • NPI 1497244461
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1316838600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13939 WHITNEY RD",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809792",
            "telephone_number": "716-217-0105",
            "fax_number": "716-324-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 WHITNEY RD",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809792",
            "telephone_number": "716-217-0105",
            "fax_number": "716-324-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS CHIROPRACTIC AND ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "ROMAN PEREZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "716-217-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Kandra, COTA
• Kristine Mary Klein, M.A. CCC-SLP
• Teresa D Lacy
• Heather Ann Lafferty
• Maryrose Landsiedel, LPN
• Claire Buckley Mackiewicz, R.PH.
• Natalie Mark, RN
• Gail M. Maynard, LPN
• Skylar Rose Metzger
• Marsha A North, COTA

• Chiropractor in Holland, NY
• Providers in Holland, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.