Individual provider Active NPI

Ryan Kilijanski, DC

  • Chiropractor
  • Amherst, NY
National Provider Identifier
1750152799
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013775-01 Issued in NY
Practice address
2360 Sweet Home Rd Ste 7&8
Amherst, NY 14228-2329
Phone
(716) 564-8800
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013775-01 NY Primary

Addresses

Primary practice location

2360 Sweet Home Rd Ste 7&8
Amherst, NY 14228-2329

Mailing address

420 Riverwalk Dr
Youngstown, NY 14174-9603
Phone (716) 598-0747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000183 NY Practitioner - Chiropractic 7618418609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6332 S Transit Rd
Lockport, NY 14094-6336
Phone (716) 434-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013775-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Wellness & Chiropractic Chiropractor CurrentSince Jul 8, 2024 Accepting new patients
Lucas James Halliwell and Stephanie Halliwell Chiropractic, P.C. Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

6332 S Transit Rd
Lockport, NY 14094
Phone (716) 434-3884

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1750152799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 RIVERWALK DR",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141749603",
            "telephone_number": "716-598-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SWEET HOME RD STE 7&8",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282329",
            "telephone_number": "716-564-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIJANSKI",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013775-01",
            "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 Jan 9, 2024; 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.