Western New York Spine & Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011485 Issued in NY

Legal business name

WESTERN NEW YORK SPINE & CHIROPRACTIC PLLC

Practice address

295 Main St
Suite 118
Buffalo, NY 14203-2412

Phone

(561) 714-8092

NPI assigned

Jul 30, 2015

Last updated

Aug 26, 2015By 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. Alexi O Fakhari, D.C.NPI 1982622874

Title

Sole Member / Doctor

Phone

(716) 322-0290

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Alexi Fakhari, D.C.

  • Sports Physician Chiropractor
  • Buffalo, NY
  • NPI 1982622874
  NPD (past) Authorized official
• Jesse Jonathan Odell, DC

  • Chiropractor
  • Buffalo, NY
  • NPI 1962054742
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1336525484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "address_2": "SUITE 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032412",
            "telephone_number": "561-714-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "address_2": "SUITE 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032412",
            "telephone_number": "561-714-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK SPINE & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "FAKHARI",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SOLE MEMBER / DOCTOR",
        "authorized_official_telephone_number": "716-322-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western New York Meidtrans LLC,
• Western New York MRI LLP
• Western New York Orthopaedics, PC
• Western New York Orthotic Supply, Inc.
• Western New York Radiology Associates LLC
• Western New York Thoracic Surgery, LLC
• Lindsey Karen Westfield, RN
• Teresa Lynn Weston, LCAT, ATR-BC
• John Wetherwax, MS
• Julie Ann Wettlaufer, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.