FORESTVILLE CHIROPRACTIC PC
NPI 1720564586
Chiropractor in Forestville, NY

Active since July 16, 2018
24 MAIN ST, FORESTVILLE, NY 14062(716) 965-4343 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Forestville Chiropractic Pc NPPES

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

FORESTVILLE CHIROPRACTIC PC (NPI 1720564586) is a healthcare organization registered as a chiropractor in Forestville, New York and active in the NPI registry since July 2018. The organization lists Jessica L Davis - Mierwza, Owner, as its authorized official.

NPPES Registry Identity

NPI1720564586
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORESTVILLE CHIROPRACTIC PC
Location Address24 MAIN STForestville, NY 14062-9803
Mailing Address24 Main StForestville, NY 14062-9803 · (716) 965-4343
Organization SubpartNo
Authorized OfficialJessica L Davis - MierwzaOwner · (716) 965-4343
Enumeration DateJuly 16, 2018
✔ NPI 1720564586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
24 MAIN ST, Forestville, NY 14062

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Forestville Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Forestville Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1679666838
24 MAIN ST
Forestville, NY 14062
(716) 877-0676
8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Forestville Chiropractic PC's NPI number?

The NPI number for Forestville Chiropractic PC is 1720564586. It was assigned to this organization in the NPPES registry on July 16, 2018.

Where is Forestville Chiropractic PC located?

Forestville Chiropractic PC is located at 24 Main St, Forestville, NY 14062. The listed phone number is (716) 965-4343.

What is Forestville Chiropractic PC's specialty?

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

Is Forestville Chiropractic PC enrolled in Medicare?

Yes. Forestville Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forestville Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Forestville Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Forestville Chiropractic PC was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.