Kenmore Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012224 Issued in NY

Legal business name

KENMORE CHIROPRACTIC PC

Practice address

2839 Elmwood Ave
Kenmore, NY 14217-1330

Phone

(716) 873-0500

Fax

(716) 873-0500

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Derek J. Golley, D.C.

Title

President/Chiropractor

Phone

(716) 873-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Kolysh, PT

  • Physical Therapist
  • Buffalo, NY
  • NPI 1245318187
  NPD (past)
• Alexander Y Podvezko, MD

  • Diagnostic Radiology Physician
  • Binghamton, NY
  • NPI 1710971551
  NPD (past)
• Mikhail Strut, MD

  • Pain Medicine Physician
  • Cheektowaga, NY
  • NPI 1699970491
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1790022424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171330",
            "telephone_number": "716-873-0500",
            "fax_number": "716-873-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171330",
            "telephone_number": "716-873-0500",
            "fax_number": "716-873-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "GOLLEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "716-873-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Kelly, LMHC
• Kristen Kelsey
• Ken-Ton Hearing, P.C.
• Ken-Ton Open MRI PC
• Ken-Ton Physical Therapy, PLLC
• Kenmore Dental Assoc. LLP
• Kenmore Family Medicine
• Kenmore Family Medicine
• Kenmore Family Medicine, LLP
• Kenmore Immediate Care Corp Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.