Daniel G Jividen, DC Chiropractic Services, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0077641 Issued in NY

Legal business name

DANIEL G JIVIDEN, DC CHIROPRACTIC SERVICES, PC

Practice address

66 Nichols St
Spencerport, NY 14559-2192

Phone

(585) 352-3254

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Daniel G. Jividen, DC

Title

President Owner

Phone

(585) 652-3254

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780730721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145590412",
            "telephone_number": "585-352-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NICHOLS ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592192",
            "telephone_number": "585-352-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL G JIVIDEN, DC CHIROPRACTIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIVIDEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "585-652-3254",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0077641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.