Matthew Mark Misiak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006733 Issued in NY

Practice address

1331 N Forest Rd
Suite 210
Williamsville, NY 14221-2198

Phone

(716) 639-3939

Fax

(716) 639-8338

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861600256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N FOREST RD",
            "address_2": "SUITE 210",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212198",
            "telephone_number": "716-639-3939",
            "fax_number": "716-639-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N FOREST RD",
            "address_2": "SUITE 210",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212198",
            "telephone_number": "716-639-3939",
            "fax_number": "716-639-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIAK",
        "first_name": "MATTHEW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeann Mirowski, RPH
• Madiha A Mirza, MD
• Afrah Misbah, MD
• Christina Marie Misener, RN
• Misiak Chiropractic PC
• Molly Misso
• Margaret R Mitchell, M.D.
• Mary Mitchell, RN
• Robert L Mitchell, MD
• Stacee Mitchell, L.P.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.