NPIMap

Organization Active NPI

Complete Care Chiropractic PC

Doing business as Complete Care Chiropractic

  • Health Service Clinic/Center
  • Williamsville, NY
National Provider Identifier
1386085454
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COMPLETE CARE CHIROPRACTIC PC
Doing business as
Complete Care Chiropractic
Practice address
6470 Main St Ste 2
Williamsville, NY 14221-5851
Phone
(716) 580-3577
Fax
(716) 580-3622
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Niccole Michelle Jefferlone, DCNPI 1568759389
Title
Ceo
Phone
(716) 580-3577

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

6470 Main St Ste 2
Williamsville, NY 14221-5851

Mailing address

6470 Main St Ste 2
Williamsville, NY 14221-5851
Phone (716) 580-3577

Other names 1

  • Complete Care Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016001073 NY Part B Supplier - Clinic/Group Practice 4486888948 Receives reassigned benefits from 7 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

2250 Wehrle Dr
Ste 2A
Williamsville, NY 14221
Phone (716) 580-3577

6470 Main St
Ste 2
Williamsville, NY 14221
Phone (716) 580-3577

Practitioners & affiliated clinicians

Practitioners 10

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1386085454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215851",
            "telephone_number": "716-580-3577",
            "fax_number": "716-580-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215851",
            "telephone_number": "716-580-3577",
            "fax_number": "716-580-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "JEFFERLONE",
        "authorized_official_first_name": "NICCOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-580-3577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care 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 Feb 1, 2019; 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.