Individual provider Active NPI

Christina Marie Walkowski, DC

  • Chiropractor
  • Depew, NY
National Provider Identifier
1780270363
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013402 Issued in NY
Practice address
4976 Transit Rd Ste 2
Depew, NY 14043-4651
Phone
(716) 586-4000
Fax
(716) 586-3999
NPI assigned
Dec 17, 2020
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013402 NY Primary

Addresses

Primary practice location

4976 Transit Rd Ste 2
Depew, NY 14043-4651

Mailing address

4976 Transit Rd Ste 2
Depew, NY 14043-4651
Phone (716) 586-4000

Other names 1

  • Tina Kieffer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803003602 NY Practitioner - Chiropractic 1658775325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Demarco Chiropractic PLLCGroup PAC ID 0749414555, 2 clinicians

Practice addresses (Care Compare)

345 Dick Rd
Depew, NY 14043-1800
Phone (716) 681-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013402NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Demarco Chiropractic PLLC Chiropractor CurrentSince May 17, 2021 Accepting new patients

Locations

345 Dick Rd
Depew, NY 14043
Phone (716) 651-0100

4976 Transit Rd
Ste 2
Depew, NY 14043
Phone (716) 586-4000

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, 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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1780270363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 TRANSIT RD STE 2",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434651",
            "telephone_number": "716-586-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 TRANSIT RD STE 2",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434651",
            "telephone_number": "716-586-4000",
            "fax_number": "716-586-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWSKI",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "KIEFFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.