Individual provider Active NPI

Stephanie Elaine Mussmann, DC, DACBR

  • Radiology Chiropractor
  • Buffalo, NY
National Provider Identifier
1700211240
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
70011700 Issued in NY
Practice address
2900 Main St
Dyc Chiropractic Health Center
Buffalo, NY 14214-1718
Phone
(716) 923-4375
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70011700 NY
Radiology Chiropractor 111NR0200X 70011700 NY Primary

Addresses

Primary practice location

2900 Main St
Dyc Chiropractic Health Center
Buffalo, NY 14214-1718

Mailing address

320 Porter Ave
Dyc Chiropractic Department
Buffalo, NY 14201-1032
Phone (612) 251-3997

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
70011700NYMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1700211240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "address_2": "DYC CHIROPRACTIC DEPARTMENT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "612-251-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST",
            "address_2": "DYC CHIROPRACTIC HEALTH CENTER",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141718",
            "telephone_number": "716-923-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMANN",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DC, DACBR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70011700",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "70011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.