Individual provider Active NPI

Thomas D Denecke, DC

  • Chiropractor
  • West Seneca, NY
National Provider Identifier
1780780601
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002719-5B Issued in NY
Practice address
767 Mineral Springs Rd
West Seneca, NY 14224-1053
Phone
(716) 823-1343
Fax
(716) 823-2113
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002719-5B NY Primary

Addresses

Primary practice location

767 Mineral Springs Rd
West Seneca, NY 14224-1053

Mailing address

767 Mineral Springs Rd
West Seneca, NY 14224-1053
Phone (716) 823-1343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000254 NY Practitioner - Chiropractic 4284785056 Practice locations: West Seneca, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002719NYMDMental Health Counselor
X002719-5BNYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coster Chiropractic, PLLC Chiropractor PastSince Jan 2, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1780780601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 MINERAL SPRINGS RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241053",
            "telephone_number": "716-823-1343",
            "fax_number": "716-823-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 MINERAL SPRINGS RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241053",
            "telephone_number": "716-823-1343",
            "fax_number": "716-823-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENECKE",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002719-5B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.