Organization Active NPI

Taylor Chiropractic Clinic, P.a.

  • Chiropractor
  • Henderson, NC
National Provider Identifier
1003874710
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3050 Issued in NC
Legal business name
TAYLOR CHIROPRACTIC CLINIC, P.A.
Practice address
414 Dabney Dr
Henderson, NC 27536-3944
Phone
(252) 430-8000
Fax
(252) 430-8200
NPI assigned
May 2, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. George Brandon Taylor, D.C.NPI 1801889464
Title
Owner/Chiropractor
Phone
(252) 430-8000

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 3050 NC Primary

Addresses

Primary practice location

414 Dabney Dr
Henderson, NC 27536-3944

Mailing address

414 Dabney Dr
Henderson, NC 27536-3944
Phone (252) 430-8000

Other identifiers 1

IdentifierTypeStateIssuer
89085GTMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000639 NC Part B Supplier - Clinic/Group Practice 7416907019 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1003874710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363944",
            "telephone_number": "252-430-8000",
            "fax_number": "252-430-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363944",
            "telephone_number": "252-430-8000",
            "fax_number": "252-430-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "252-430-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085GT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.