Advance Chiropractic
Organization Active NPI Chiropractor · Niagara Falls, NY
NPI 1457525172 · NPPES record last updated May 14, 2012
Key facts
- NPI
- 1457525172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- X007082-3 (NY)
- Legal business name
- ADVANCE CHIROPRACTIC
- Practice address
- 820 Main Street
Niagara Falls, NY 14301 - Phone
- (716) 283-7979
- Fax
- (716) 283-1336
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Douglas F Monteleone, D.C.
- Title
- Owner
- Phone
- (716) 283-7979
Practitioners 5
-
Donald P Monteleone, D.C.
-
Douglas F Monteleone, D.C.
-
John Christodoulides, M.D.
-
Juan De Rosas, MD
-
Jesus E Skrlin, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101027000898 | NY | Part B Supplier - Clinic/Group Practice | 0749474427 |
Receives reassigned benefits from 2 practitioners Practice locations: Niagara Falls, NY |
National Provider Directory
Locations
820 Main St
Niagara Falls, NY 14301
Phone (716) 283-7979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X-006652-1 | NY | |
| Chiropractor |
111N00000X | X007082-3 | NY | Yes |
| Chiropractor |
111N00000X | X006652-4 | NY |
Addresses
Primary practice location
820 Main Street
Niagara Falls, NY 14301
Mailing address
820 Main Street
Niagara Falls, NY 14301
Phone (716) 283-7979
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All providers in Niagara Falls, NY · Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.