Active NPI
Jeffrey A Byrne, D.C.
- Chiropractor
- Cicero, NY
National Provider Identifier
1700922366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007911
- Practice address
- 6253 Route 31
Cicero, NY 13104 - Phone
- (315) 699-2219
- Fax
- (315) 699-2302
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6253 State Route 31
Cicero, NY 13039-8714
6253 State Route 31
Cicero, NY 13039-8730
Phone (315) 699-2219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071005000499 | NY | Practitioner - Chiropractic | 9436244431 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007911 | NY | MD | Chiropractor |
Interoperability endpoints
- drjeffdc@ccc0048.direct.chirotouch.md
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007911 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6253 Route 31
Cicero, NY 13104
Mailing address
4692 Druids GLN
Manlius, NY 13104-8432
Phone (315) 682-2718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700922366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 DRUIDS GLN",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048432",
"telephone_number": "315-682-2718",
"fax_number": "315-699-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6253 ROUTE 31",
"city": "CICERO",
"state": "NY",
"postal_code": "13104",
"telephone_number": "315-699-2219",
"fax_number": "315-699-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.