Individual provider Active NPI

Christian Michael Duquin, D.C.

  • Chiropractor
  • Amherst, NY
National Provider Identifier
1629467345
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012737 Issued in NY
Practice address
3950 E Robinson Rd Ste 109
Amherst, NY 14228
Phone
(716) 603-5752
Fax
(716) 264-4884
NPI assigned
Jan 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012737 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd Ste 109
Amherst, NY 14228

Mailing address

532 E Goundry St
North Tonawanda, NY 14120-6211
Phone (716) 603-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012737NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1629467345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 E GOUNDRY ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206211",
            "telephone_number": "716-603-5752",
            "fax_number": "716-264-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD STE 109",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-603-5752",
            "fax_number": "716-264-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUIN",
        "first_name": "CHRISTIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.