Organization Active NPI

Twin City Chiropractic

  • Chiropractor
  • North Tonawanda, NY
National Provider Identifier
1376742288
Registry record updated Dec 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009649 Issued in NY
Legal business name
TWIN CITY CHIROPRACTIC
Practice address
510 Oliver St
North Tonawanda, NY 14120-4300
Phone
(716) 693-5646
Fax
(716) 693-2667
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2014

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

Authorized official

Name
Dr. Loren S Brunner, DCNPI 1710105036
Title
Doctor of Chiropractic
Phone
(716) 693-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009649 NY Primary

Addresses

Primary practice location

510 Oliver St
North Tonawanda, NY 14120-4300

Mailing address

510 Oliver St
North Tonawanda, NY 14120-4300
Phone (716) 693-5646

Other identifiers 2

IdentifierTypeStateIssuer
1376742288OtherNYNPI
C09649-7OtherNYWORKER'S COMP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417824000000",
    "number": "1376742288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 OLIVER ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204300",
            "telephone_number": "716-693-5646",
            "fax_number": "716-693-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OLIVER ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204300",
            "telephone_number": "716-693-5646",
            "fax_number": "716-693-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2014-12-06",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "716-693-5646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376742288",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "C09649-7",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.