Individual provider Active NPI

David James Pacana, DC

  • Chiropractor
  • North Tonawanda, NY
National Provider Identifier
1497757918
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009343 Issued in NY
Practice address
424 Robinson St
North Tonawanda, NY 14120-7021
Phone
(716) 692-0021
Fax
(716) 692-2321
NPI assigned
Aug 15, 2005
Reactivated
May 3, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009343 NY Primary

Addresses

Primary practice location

424 Robinson St
North Tonawanda, NY 14120-7021

Mailing address

424 Robinson St
North Tonawanda, NY 14120-7021
Phone (716) 692-0021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000816 NY Practitioner - Chiropractic 2668400730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Robinson St
North Tonawanda, NY 14120-7044
Phone (716) 692-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009343NYMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1497757918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ROBINSON ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207021",
            "telephone_number": "716-692-0021",
            "fax_number": "716-692-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ROBINSON ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207021",
            "telephone_number": "716-692-0021",
            "fax_number": "716-692-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACANA",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-06-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.