Organization Active NPI

Lackawanna Chiropractic PC

  • Chiropractor
  • Lackawanna, NY
National Provider Identifier
1508301607
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009889 Issued in NY
Legal business name
LACKAWANNA CHIROPRACTIC PC
Practice address
1198 Ridge Rd
Lackawanna, NY 14218-1817
Phone
(716) 823-1900
Fax
(716) 823-2730
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Thomas John Taylor Jr., D.C.
Title
President/Owner
Phone
(716) 823-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009889 NY Primary

Addresses

Primary practice location

1198 Ridge Rd
Lackawanna, NY 14218-1817

Mailing address

1198 Ridge Rd
Lackawanna, NY 14218-1817
Phone (716) 823-1900

National Provider Directory

National Provider Directory

Locations

1234 Abbott Rd
Ste 230
Lackawanna, NY 14218
Phone (716) 242-8588

1198 Ridge Rd
Lackawanna, NY 14218
Phone (716) 823-1900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1508301607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181817",
            "telephone_number": "716-823-1900",
            "fax_number": "716-823-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181817",
            "telephone_number": "716-823-1900",
            "fax_number": "716-823-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-823-1900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.