GENESIS CHIROPRACTIC
NPI 1710200100
Chiropractor in Buffalo, NY

Active since March 12, 2010
313 ELMWOOD AVE, BUFFALO, NY 14222(716) 882-8800(716) 881-1382 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Genesis Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS CHIROPRACTIC (NPI 1710200100) is a healthcare organization registered as a chiropractor in Buffalo, New York and active in the NPI registry since March 2010. The organization lists D. Jordan Conrad, Owner, as its authorized official.

NPPES Registry Identity

NPI1710200100
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameD.JORDAN CONRAD DC PC
Location Address313 ELMWOOD AVEBuffalo, NY 14222-2203
Mailing Address313 Elmwood AveBuffalo, NY 14222-2203 · (716) 882-8800 · Fax (716) 881-1382
Fax(716) 881-1382
Organization SubpartNo
Authorized OfficialD. Jordan ConradOwner · (716) 882-8800
Enumeration DateMarch 12, 2010
Last NPPES UpdateDecember 4, 2019
NPI 1710200100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X0114531
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

313 ELMWOOD AVE, Buffalo, NY 14222

Other Names 1

Doing Business AsGenesis Chiropractic

Other Identifiers 1

Medicaid05084895NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
313 ELMWOOD AVE
BUFFALO, NY 14222
Lactation Consultant, Non-RN
313 ELMWOOD AVE
BUFFALO, NY 14222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D.Jordan Conrad Dc PC's NPI number?

The NPI number for D.Jordan Conrad Dc PC is 1710200100. It was assigned to this organization in the NPPES registry on March 12, 2010.

Where is D.Jordan Conrad Dc PC located?

D.Jordan Conrad Dc PC is located at 313 Elmwood Ave, Buffalo, NY 14222. The listed phone number is (716) 882-8800.

What is D.Jordan Conrad Dc PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for D.Jordan Conrad Dc PC was last updated on December 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.