Organization Active NPI

Optimum Chiropractic of Western New York, PLLC

  • Chiropractor
  • Cheektowaga, NY
National Provider Identifier
1386960631
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011746 Issued in NY
Legal business name
OPTIMUM CHIROPRACTIC OF WESTERN NEW YORK, PLLC
Practice address
2875 Union Rd
Suite 351
Cheektowaga, NY 14227-1461
Phone
(716) 833-1926
Fax
(716) 681-9456
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Keith D Mondschein, DC
Title
Sole Member
Phone
(716) 833-1926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 011746 NY Primary

Addresses

Primary practice location

2875 Union Rd
Suite 351
Cheektowaga, NY 14227-1461

Mailing address

2875 Union Road
Suite 351
Cheektowaga, NY 14227-1461
Phone (716) 833-1926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1386960631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 UNION ROAD",
            "address_2": "SUITE 351",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271461",
            "telephone_number": "716-833-1926",
            "fax_number": "716-681-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 UNION RD",
            "address_2": "SUITE 351",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271461",
            "telephone_number": "716-833-1926",
            "fax_number": "716-681-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC OF WESTERN NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MONDSCHEIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-833-1926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.