Active NPI
Dennis J Bartkowiak, D.C.
- Chiropractor
- Tonawanda, NY
National Provider Identifier
1376544023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007317
- Practice address
- 2126 Niagara Falls Blvd
Tonawanda, NY 14150-4700 - Phone
- (716) 743-0014
- Fax
- (716) 743-0015
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007317 | NY | Primary |
Addresses
Primary practice location
2126 Niagara Falls Blvd
Tonawanda, NY 14150-4700
Mailing address
2126 Niagara Falls Blvd
Tonawanda, NY 14150-4700
Phone (716) 743-0014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C07317-3W | Other | NY | NYS WORKERS COMP ID |
| 16144154201 | Other | NY | PRISM HEALTH NETWORKS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007317 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376544023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 NIAGARA FALLS BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141504700",
"telephone_number": "716-743-0014",
"fax_number": "716-743-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 NIAGARA FALLS BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141504700",
"telephone_number": "716-743-0014",
"fax_number": "716-743-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTKOWIAK",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS WORKERS COMP ID",
"identifier": "C07317-3W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM HEALTH NETWORKS",
"identifier": "16144154201",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.