Active NPI
Evolve Chiropractic Wny PC
- Chiropractor
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- EVOLVE CHIROPRACTIC WNY PC
- Practice address
- 290 Center Rd Ste 206
West Seneca, NY 14224-1945 - Phone
- (716) 259-1700
- Fax
- (716) 608-6188
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Edmund Cichocki, CHIROPRACTOR
- Title
- President
- Phone
- (716) 259-1700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
290 Center Rd Ste 206
West Seneca, NY 14224-1945
Mailing address
290 Center Rd Ste 206
West Seneca, NY 14224-1945
Phone (716) 259-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
290 Center Rd
Ste 206
West Seneca, NY 14224
Phone (716) 259-1700
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Elma, NY
- NPI 1790104719
-
- Chiropractor
- West Seneca, NY
- NPI 1265559678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1447907662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 CENTER RD STE 206",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241945",
"telephone_number": "716-259-1700",
"fax_number": "716-608-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CENTER RD STE 206",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241945",
"telephone_number": "716-259-1700",
"fax_number": "716-608-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE CHIROPRACTIC WNY PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-07",
"status": "A",
"authorized_official_last_name": "CICHOCKI",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "EDMUND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-259-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CHIROPRACTOR"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.