Individual provider Active NPI

Nicholas Donald Hirschfelt, DC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1821190091
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011288 Issued in NY
Practice address
770 Niagara Falls Blvd Ste 3
Buffalo, NY 14223-1827
Phone
(716) 462-4693
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011288 NY Primary

Addresses

Primary practice location

770 Niagara Falls Blvd Ste 3
Buffalo, NY 14223-1827

Mailing address

770 Niagara Falls Blvd Ste 3
Buffalo, NY 14223-1827
Phone (716) 462-4693

Other identifiers 1

IdentifierTypeStateIssuer
X011288OtherNYNEW YORK STATE LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000416 NY Practitioner - Chiropractic 6002907250 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

770 Niagara Falls Blvd
Suite 3
Buffalo, NY 14223-1827
Phone (716) 462-4693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011288NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Garden of Health Family Chiropractic PLLC Chiropractor CurrentSince Dec 1, 2020 Accepting new patients
Coburn Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

770 Niagara Falls Blvd
Ste 3
Buffalo, NY 14223
Phone (716) 462-4693

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1821190091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NIAGARA FALLS BLVD STE 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231827",
            "telephone_number": "716-462-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NIAGARA FALLS BLVD STE 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231827",
            "telephone_number": "716-462-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHFELT",
        "first_name": "NICHOLAS",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE #",
            "identifier": "X011288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.