Active NPI
Thomas John Taylor Jr., DC
- Chiropractor
- Lackawanna, NY
National Provider Identifier
1922189182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009889-1
- Practice address
- 1234 Abbott Rd Ste 230
Lackawanna, NY 14218-1946 - Phone
- (716) 823-1900
- Fax
- (716) 823-2730
- NPI assigned
- Oct 17, 2006
- 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 | X009889-1 | NY | Primary |
Addresses
Primary practice location
1234 Abbott Rd Ste 230
Lackawanna, NY 14218-1946
Mailing address
1198 Ridge Rd
Lackawanna, NY 14218-1817
Phone (716) 823-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000336 | NY | Practitioner - Chiropractic | 2466619697 | Practice locations: Lackawanna, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009889-1 | NY | MD | Chiropractor |
| 009889 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lackawanna Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
1234 Abbott Rd
Ste 230
Lackawanna, NY 14218
Phone (716) 242-8588
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
- Lackawanna, NY
- NPI 1285575563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1922189182",
"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": "1234 ABBOTT RD STE 230",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181946",
"telephone_number": "716-823-1900",
"fax_number": "716-823-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009889-1",
"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 Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.