Active NPI
Lawrence R Birzon, DC, PT
- Chiropractor
- Kenmore, NY
National Provider Identifier
1780690990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003059-1
- Practice address
- 3734 Delaware Ave
Kenmore, NY 14217-1002 - Phone
- (716) 874-1500
- Fax
- (716) 874-6396
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009221-1 | NY | |
| Chiropractor | 111N00000X | X003059-1 | NY | Primary |
Addresses
Primary practice location
3734 Delaware Ave
Kenmore, NY 14217-1002
Mailing address
3734 Delaware Ave
Kenmore, NY 14217-1002
Phone (716) 874-1500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020137801 | Other | NY | UNIVERA |
| 1030314 | Other | NY | AETNA |
| 8803885 | Other | NY | INDEPENDENT HEALTH |
| 000608461004 | Other | NY | BC BS COMMUNITY BLUE |
| 00978432 | Medicaid | NY | |
| 801640 | Other | NY | EMPIRE PLAN |
| 00011191301 | Other | NY | UNIVERA |
| 00208461002 | Other | NY | BC BS COMMUNITY BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003059-1 | NY | MD | Chiropractor |
| 003059 | NY | MD | Audiologist |
| 009221-1 | NY | MD | Speech-Language Pathologist |
| 009221 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1780690990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3734 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171002",
"telephone_number": "716-874-1500",
"fax_number": "716-874-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171002",
"telephone_number": "716-874-1500",
"fax_number": "716-874-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRZON",
"first_name": "LAWRENCE",
"middle_name": "R",
"credential": "DC, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009221-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003059-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020137801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1030314",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8803885",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS COMMUNITY BLUE",
"identifier": "000608461004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00978432",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "801640",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011191301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS COMMUNITY BLUE",
"identifier": "00208461002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.