Individual provider Active NPI

Jeffrey Scott Taylor, D.C.

  • Chiropractor
  • Medford, OR
National Provider Identifier
1013116920
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71 3745 Issued in OR
Practice address
1744 E McAndrews Rd
Ste. a
Medford, OR 97504-5576
Phone
(541) 779-8338
Fax
(541) 779-8338
NPI assigned
Jul 12, 2007
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 71 3745 OR Primary

Addresses

Primary practice location

1744 E McAndrews Rd
Ste. a
Medford, OR 97504-5576

Mailing address

1744 E McAndrews Rd
Ste. a
Medford, OR 97504-5576
Phone (541) 779-8338

Other identifiers 1

IdentifierTypeStateIssuer
1013116920MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000463 OR Practitioner - Chiropractic 9638261787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1744 E McAndrews Rd
Suite a
Medford, OR 97504-5576
Phone (541) 779-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71 3745ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Taylor D.C., P.C. Chiropractor CurrentSince Jul 10, 2007 Accepting new patients
Crater Chiropractic Clinic PC Chiropractor PastSince Jul 1, 2018 Accepting new patients
Gustav E Schefstrom Chiropractor PastSince Jul 10, 2007 Accepting new patients

Locations

1744 E McAndrews Rd
Ste A
Medford, OR 97504
Phone (541) 779-8338

3560 National Dr
Ste 100
Medford, OR 97504
Phone (541) 734-7333

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1013116920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD",
            "address_2": "STE. A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-779-8338",
            "fax_number": "541-779-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD",
            "address_2": "STE. A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-779-8338",
            "fax_number": "541-779-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013116920",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.