Organization Active NPI

Tonawanda Chiropractic, P.L.L.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1518625425
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TONAWANDA CHIROPRACTIC, P.L.L.C.
Practice address
1201 Colvin Blvd Ste 2a
Buffalo, NY 14223-1936
Phone
(716) 490-0210
Fax
(716) 954-0208
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Joshua John Nelson, DCNPI 1790223832
Title
Owner
Phone
(716) 490-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Colvin Blvd Ste 2a
Buffalo, NY 14223-1936

Mailing address

1201 Colvin Blvd Ste 2a
Buffalo, NY 14223-1936
Phone (716) 490-0210

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo.com Direct

National Provider Directory

National Provider Directory

Locations

1201 Colvin Blvd
Ste 2A
Buffalo, NY 14223
Phone (716) 320-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1518625425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COLVIN BLVD STE 2A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231936",
            "telephone_number": "716-490-0210",
            "fax_number": "716-954-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLVIN BLVD STE 2A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231936",
            "telephone_number": "716-490-0210",
            "fax_number": "716-954-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONAWANDA CHIROPRACTIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-490-0210",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo.com",
            "affiliation": "N",
            "endpointDescription": "Online EHR/EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1201 Colvin Blvd Ste 2A",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142231936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 8, 2021; 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.