Organization Active NPI

O Neill Chiropractic PC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1831240845
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009399-1 Issued in NY
Legal business name
O NEILL CHIROPRACTIC PC
Practice address
616 Potomac Ave
Buffalo, NY 14222-1214
Phone
(716) 884-4450
Fax
(716) 881-1217
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terrence Patrick O Neill, DC
Title
Owner
Phone
(716) 884-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009399-1 NY Primary

Addresses

Primary practice location

616 Potomac Ave
Buffalo, NY 14222-1214

Mailing address

616 Potomac Ave
Buffalo, NY 14222
Phone (716) 884-4450

Other identifiers 1

IdentifierTypeStateIssuer
60910350OtherNYFEDERAL WORKERS COMP ID

National Provider Directory

National Provider Directory

Locations

616 Potomac Ave
Buffalo, NY 14222
Phone (716) 884-4450

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831240845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 POTOMAC AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "716-884-4450",
            "fax_number": "716-881-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 POTOMAC AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221214",
            "telephone_number": "716-884-4450",
            "fax_number": "716-881-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O NEILL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O NEILL",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-884-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009399-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP ID",
            "identifier": "60910350",
            "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 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.