Timothy Aloysius Gagan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0131901 Issued in NY

Practice address

1661 Kennedy Rd
Webster, NY 14580-9311

Phone

(315) 604-6572

NPI assigned

Dec 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apple Country Chiropractic, PCGroup PAC ID 1951317973, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Apple Country Chiropractic, PC

  • Chiropractor
  • Williamson, NY
  • NPI 1871618744
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1508337015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 KENNEDY RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809311",
            "telephone_number": "315-604-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 KENNEDY RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809311",
            "telephone_number": "315-604-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGAN",
        "first_name": "TIMOTHY",
        "middle_name": "ALOYSIUS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0131901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Frank, P.T.
• Alana Rebecca Frank, DPT
• Lisa B Freida, O.T.
• Neva French
• Michelle Frisch, LPN
• Susan A Galligan
• Gallo and Gleason Orthodontics, PLLC
• Louis Stephen Gallo, D.D.S.,M.S.
• Kimberly A Ganley, M.S., CCC, SLP
• Charlotte Garcia

• Chiropractor in Webster, NY
• Providers in Webster, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.