DR. BRYAN D'AOUST (NPI# 1093114589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093114589 |
| Entity Type | Individual |
| Full Name | DR. BRYAN D'AOUST |
| Credential | D.C. |
| Practice Address |
430 Wagner St Waterloo NY 13165-6702 |
| Mailing Address |
6619 Airport Rd Hamilton NY 13346-2118 |
| Practice Telephone | 3157092678 |
| Mailing Telephone | 3157092678 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 012598 | NY | Chiropractic Providers |
| Street Address |
430 WAGNER ST |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448370 | Tasha Marie Fuller | Chiropractor | 47 Virginia St, Waterloo, NY 13165-1444 | 2018-12-06 |
| 1922591452 | Amanda Hussman | Chiropractor | 203 E Tower Park Dr Ste B, Waterloo, IA 50701-9321 | 2018-06-09 |
| 1104287069 | Back In Motion Chiropractic LLC | Chiropractor | 2835 University Ave, Waterloo, IA 50701-3335 | 2016-03-18 |
| 1780067256 | Emily Michele Kruse | Chiropractor | 208 E Mill St, Waterloo, IL 62298-1519 | 2015-07-02 |
| 1598160590 | Kingsley D Kabari | Chiropractor | 1963 Us Route 20, Waterloo, NY 13165-8552 | 2014-11-03 |
| 1346552643 | Lance E. Vanderloo Dc PC | Chiropractor | 3731 Kimball Avenue, Waterloo, IA 50702-5728 | 2010-07-02 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447572243 | Devin D Schumann | Chiropractor | 132 W Madison St, Waterloo, WI 53594-1320 | 2010-02-19 |
| 1669654356 | Hartzell Family Chiropractic, P.l.c. | Chiropractor | 509 Ansborough Ave, Ste A, Waterloo, IA 50701-2139 | 2007-12-04 |
| 1043410087 | Ebert Chiropractic Clinic PC | Chiropractor | 1445 Ansborough Avenue, Waterloo, IA 50701-3430 | 2007-07-18 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.