Individual provider Active NPI

Gerald Lester Stevens, D.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1992761084
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010352 Issued in NY
Practice address
320 Porter Ave
Buffalo, NY 14201-1032
Phone
(716) 474-4511
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010352 NY Primary

Addresses

Primary practice location

320 Porter Ave
Buffalo, NY 14201-1032

Mailing address

320 Porter Ave
Buffalo, NY 14201-1032
Phone (716) 474-4511

Other identifiers 6

IdentifierTypeStateIssuer
652546OtherNYAMERICAN CHIROPRACTIC NET
73-1664708OtherNYLANDMARK
8811391OtherNYINDEPENDENT HEALTH
C10352-5BOtherNYWORKERS COMPENSATION
837319OtherNYMANAGED PHYSOCAL NETWORK
7514542OtherNYAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001576 NY Practitioner - Chiropractic 0345131157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010352NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Chiropractic-Wilson P.C. Chiropractor PastSince Jan 1, 2009 Accepting new patients
Kase Chiropractic PC Chiropractor PastSince May 23, 2005 Accepting new patients
Ken Ton Chiropractic Spine and Injury, PC Chiropractor PastSince Aug 15, 2010 Accepting new patients

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1992761084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "716-474-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "716-474-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GERALD",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NET",
            "identifier": "652546",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "73-1664708",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8811391",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C10352-5B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSOCAL NETWORK",
            "identifier": "837319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7514542",
            "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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.