Organization Active NPI

Gillezeau Chiropractic P.C.

  • Health Service Clinic/Center
  • Hamburg, NY
National Provider Identifier
1871865212
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
012028 Issued in NY
Legal business name
GILLEZEAU CHIROPRACTIC P.C.
Practice address
3383 Big Tree Rd
Hamburg, NY 14075-1703
Phone
(716) 980-6107
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Paul M Gillezeau, D.C.
Title
Owner
Phone
(716) 980-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 012028 NY Primary

Addresses

Primary practice location

3383 Big Tree Rd
Hamburg, NY 14075-1703

Mailing address

3383 Big Tree Rd
Hamburg, NY 14075-1703
Phone (716) 980-6107

National Provider Directory

National Provider Directory

Locations

3383 Big Tree Rd
Hamburg, NY 14075
Phone (716) 980-6107

Practitioners & affiliated clinicians

Practitioners 1

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1871865212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 BIG TREE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751703",
            "telephone_number": "716-980-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 BIG TREE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751703",
            "telephone_number": "716-980-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLEZEAU CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "GILLEZEAU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-980-6107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "012028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.