Organization Active NPI

Opc Buffalo LLC

Doing business as Optimal Performance Chiropractic

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1376185595
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPC BUFFALO LLC
Doing business as
Optimal Performance Chiropractic
Practice address
5820 Main St
Suite #201
Williamsville, NY 14221
Phone
(716) 634-2587
Fax
(716) 328-0009
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Graig Harris Shapiro, D.C.
Title
Owner
Phone
(716) 410-5566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Sports Physician Chiropractor 111NS0005X

Addresses

Primary practice location

5820 Main St
Suite #201
Williamsville, NY 14221

Mailing address

5820 Main St
Suite #201
Williamsville, NY 14221
Phone (716) 634-2587

Other names 1

  • Optimal Performance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5820 Main St
Ste 201
Williamsville, NY 14221
Phone (716) 410-5566

Practitioners & affiliated clinicians

Practitioners 4

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1376185595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE #201",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-2587",
            "fax_number": "716-328-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE #201",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-2587",
            "fax_number": "716-328-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPC BUFFALO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "GRAIG",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-410-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.