Derrick James McAninch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013223 Issued in NY

Practice address

6933 Tonawanda Creek Rd
Lockport, NY 14094-7959

Phone

(716) 628-5672

NPI assigned

Sep 27, 2019

Sex

Male

Sole proprietor

Yes

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 VA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuck Chiropractic CorporationGroup PAC ID 0547222739, 10 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.

• Tuck Chiropractic Corporation

  dba Tuck Chiropractic Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  Medicare reassignment Care Compare group NPD
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1730730037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 TONAWANDA CREEK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140947959",
            "telephone_number": "716-628-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 TONAWANDA CREEK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140947959",
            "telephone_number": "716-628-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANINCH",
        "first_name": "DERRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Healthcare Services
• Maximus 909 Operations LLC
• Kristen Mayrose, OTR/L
• David R Mazur, OD
• Brittney Mazurek
• Jacqueline McBride
• Shannon L McCrory, NP
• Brittani Saschez Marie McDowell
• Jodi McKay, LMSW
• Emily McKean, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.