Active NPI
Joshua Nelson, D.C.
- Chiropractor
- Buffalo, NY
National Provider Identifier
1790223832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012914-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X012914-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonawanda Chiropractic, P.L.L.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Buffalo, NY
- NPI 1518625425
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.