Organization Active NPI

Misiak Chiropractic PC

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1972814564
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-006733 Issued in NY
Legal business name
MISIAK CHIROPRACTIC PC
Practice address
1331 N Forest Rd
Ste 220
Williamsville, NY 14221-2198
Phone
(716) 639-3939
Fax
(716) 639-8338
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Matthew Mark Misiak, DC
Title
Owner
Phone
(716) 639-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X-006733 NY Primary

Addresses

Primary practice location

1331 N Forest Rd
Ste 220
Williamsville, NY 14221-2198

Mailing address

1331 N Forest Rd
Ste 220
Williamsville, NY 14221-2198
Phone (716) 639-3939

National Provider Directory

National Provider Directory

Locations

2360 Sweet Home Rd
Ste 1
West Amherst, NY 14228
Phone (716) 564-8800

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1972814564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N FOREST RD",
            "address_2": "STE 220",
            "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": "STE 220",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212198",
            "telephone_number": "716-639-3939",
            "fax_number": "716-639-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISIAK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MISIAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-639-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-006733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.