Individual provider Active NPI

Joshua Nelson, D.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1790223832
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012914-1 Issued in NY
Practice address
1201 Colvin Blvd # a
Buffalo, NY 14223-1936
Phone
(716) 490-0210
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012914-1 NY Primary

Addresses

Primary practice location

1201 Colvin Blvd # a
Buffalo, NY 14223-1936

Mailing address

895 Parkside Ave
Buffalo, NY 14216-2036
Phone (716) 490-0210

Other practice location 1

5820 Main St
Suite #401
Williamsville, NY 14221-5776
Phone (716) 490-0210

Other practice location 2

3045 Southwestern Blvd
Orchard Park, NY 14127-1209
Phone (716) 713-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X012914-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tonawanda Chiropractic, P.L.L.C. Chiropractor CurrentSince Dec 12, 2021 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1790223832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PARKSIDE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162036",
            "telephone_number": "716-490-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLVIN BLVD # A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231936",
            "telephone_number": "716-490-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Main St",
            "address_2": "Suite #401",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215776",
            "country_code": "US",
            "telephone_number": "716-490-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 Southwestern Blvd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271209",
            "country_code": "US",
            "telephone_number": "716-713-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 14, 2019; 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.