Organization Active NPI

Dudzik Chiropractic P.C.

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1548383128
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6756 Issued in NY
Legal business name
DUDZIK CHIROPRACTIC P.C.
Practice address
338 Harris Hill Rd Ste 111
Williamsville, NY 14221-7470
Phone
(716) 634-6272
Fax
(716) 634-6273
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Robert A Dudzik, D.C.NPI 1447346952
Title
President
Phone
(716) 634-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6756 NY Primary

Addresses

Primary practice location

338 Harris Hill Rd Ste 111
Williamsville, NY 14221-7470

Mailing address

338 Harris Hill Rd Ste 111
Williamsville, NY 14221-7470
Phone (716) 634-6272

Other practice location 1

8835 Sheridan Dr
Williamsville, NY 14221-6319
Phone (716) 634-6272

Other practice location 2

8835 Sheridan Dr
Williamsville, NY 14221-6319
Phone (716) 634-6272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000680 NY Part B Supplier - Clinic/Group Practice 8123127537 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

1865 Clinton St
Buffalo, NY 14206
Phone (716) 634-6272

338 Harris Hill Rd
Ste 111
Williamsville, NY 14221
Phone (716) 634-6272

8835 Sheridan Dr
Williamsville, NY 14221
Phone (716) 308-9020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1548383128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD STE 111",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217470",
            "telephone_number": "716-634-6272",
            "fax_number": "716-634-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD STE 111",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217470",
            "telephone_number": "716-634-6272",
            "fax_number": "716-634-6273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8835 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142216319",
            "country_code": "US",
            "telephone_number": "716-634-6272",
            "fax_number": "716-634-6273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8835 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142216319",
            "country_code": "US",
            "telephone_number": "716-634-6272",
            "fax_number": "716-634-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUDZIK CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DUDZIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-634-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.