Organization Active NPI

Evans Family Chiropractic

  • Chiropractor
  • North Tonawanda, NY
National Provider Identifier
1750829032
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012846 Issued in NY
Legal business name
EVANS FAMILY CHIROPRACTIC
Practice address
1089 Kinkead Ave
Suite 204
North Tonawanda, NY 14120-2840
Phone
(716) 629-3839
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Matthew Evans, DCNPI 1013459544
Title
Owner
Phone
(716) 430-7205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 012846 NY Primary

Addresses

Primary practice location

1089 Kinkead Ave
Suite 204
North Tonawanda, NY 14120-2840

Mailing address

21 Dalewood Dr
Amherst, NY 14228-3030

National Provider Directory

National Provider Directory

Locations

1089 Kinkead Ave
Ste 204
North Tonawanda, NY 14120
Phone (716) 430-7205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1750829032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DALEWOOD DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE",
            "address_2": "SUITE 204",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202840",
            "telephone_number": "716-629-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-430-7205",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.