Organization Active NPI

Levick Chiropractic

Doing business as Chiropractic Wellness Center

  • Chiropractor
  • Niagara Falls, NY
National Provider Identifier
1457551152
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009724 Issued in NY
Legal business name
LEVICK CHIROPRACTIC
Doing business as
Chiropractic Wellness Center
Practice address
10158 Niagara Falls Blvd
Niagara Falls, NY 14304-2793
Phone
(716) 298-0368
Fax
(716) 298-0369
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Jacquelyn Michele Russell, D.C.
Title
President
Phone
(716) 298-0368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009724 NY Primary

Addresses

Primary practice location

10158 Niagara Falls Blvd
Niagara Falls, NY 14304-2793

Mailing address

10158 Niagara Falls Blvd
Niagara Falls, NY 14304-2793
Phone (716) 298-0368

Other names 1

  • Chiropractic Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1457551152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042793",
            "telephone_number": "716-298-0368",
            "fax_number": "716-298-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042793",
            "telephone_number": "716-298-0368",
            "fax_number": "716-298-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVICK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-298-0368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.