Organization Active NPI

SG Chiropractic Health Care, PC

  • Chiropractor
  • Elma, NY
National Provider Identifier
1780030809
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012512-1 Issued in NY
Legal business name
SG CHIROPRACTIC HEALTH CARE, PC
Practice address
5761 Seneca St
Elma, NY 14059-9806
Phone
(716) 675-5776
Fax
(716) 675-9145
NPI assigned
May 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2016

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

Authorized official

Name
Dr. Sara Griffin, DCNPI 1780004606
Title
President
Phone
(716) 725-8266

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 X012512-1 NY Primary

Addresses

Primary practice location

5761 Seneca St
Elma, NY 14059-9806

Mailing address

5761 Seneca St
Elma, NY 14059-9806
Phone (716) 675-5776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711000934 NY Part B Supplier - Clinic/Group Practice 5395037469 Receives reassigned benefits from 2 practitioners
Practice locations: West Seneca, NY; Williamsville, NY

National Provider Directory

National Provider Directory

Locations

745 Center Rd
West Seneca, NY 14224
Phone (716) 675-5776

37 S Cayuga Rd
Williamsville, NY 14221
Phone (716) 472-1289

Practitioners 11

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": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462579200000",
    "number": "1780030809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 SENECA ST",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599806",
            "telephone_number": "716-675-5776",
            "fax_number": "716-675-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 SENECA ST",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599806",
            "telephone_number": "716-675-5776",
            "fax_number": "716-675-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG CHIROPRACTIC HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2016-05-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-725-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.