Individual provider Active NPI

Thomas John Taylor Jr., DC

  • Chiropractor
  • Lackawanna, NY
National Provider Identifier
1922189182
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009889-1 Issued in NY
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

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20120131000336 NY Practitioner - Chiropractic 2466619697 Practice locations: Lackawanna, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009889-1NYMDChiropractor
009889NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lackawanna Chiropractic Chiropractor CurrentSince Feb 25, 2017 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.

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.

Verify at the official NPI Registry.