Conrad Martin Taylor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1606 Issued in LA

Practice address

3900 Cypress Street
Suite 13
West Monroe, LA 71291-7400

Phone

(318) 396-5558

Fax

(318) 396-9119

NPI assigned

Mar 16, 2011

Last updated

May 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayfield Advanced Medical LLCGroup PAC ID 8921356684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mayfield Advanced Medical, LLC

  • General Practice Physician
  • Alexandria, LA
  • NPI 1710495627
  Medicare reassignment Care Compare group NPD Authorized official
• Mayfield Chiropractic Lake Charles

  • Chiropractor
  • Lake Charles, LA
  • NPI 1487039665
  NPD
• Mayfield Chriopractic West Inc

  • Chiropractor
  • West Monroe, LA
  • NPI 1609904861
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1104125228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ASHFORD DR",
            "address_2": "APT. 1823",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917842",
            "telephone_number": "719-330-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CYPRESS STREET",
            "address_2": "SUITE 13",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917400",
            "telephone_number": "318-396-5558",
            "fax_number": "318-396-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CONRAD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Tamburo, MA
• Toni Tarrance, M.S., HIS
• Elle Kate Tarver, PHARM.D.
• Verlencia Jordan Tarvin, PHARM. D.
• Taylor Draughn Counseling, LLC.
• Katelyn Taylor, FNP
• Randolph H Taylor
• Vonda Jean Taylor
• Teaster Optical
• Julia Wroten Terral, RDH (REGISTERED DENT

• Chiropractor in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.