Organization Active NPI

E. Taylor Chiropractic, LLC

  • Chiropractor
  • Greenville, MS
National Provider Identifier
1114571007
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
E. TAYLOR CHIROPRACTIC, LLC
Practice address
1655 E Union St
Greenville, MS 38703-3267
Phone
(662) 335-3040
Fax
(662) 335-3043
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Dr. Earl Hendrick Taylor, D.C.NPI 1033367610
Title
Owner
Phone
(662) 335-3040

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 Primary

Addresses

Primary practice location

1655 E Union St
Greenville, MS 38703-3267

Mailing address

1655 E Union St
Greenville, MS 38703-3267
Phone (662) 335-3040

Other identifiers 1

IdentifierTypeStateIssuer
08078210MedicaidMS

Other names 1

  • Taylor Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1655 E Union St
Greenville, MS 38703
Phone (662) 335-3040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1114571007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033267",
            "telephone_number": "662-335-3040",
            "fax_number": "662-335-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033267",
            "telephone_number": "662-335-3040",
            "fax_number": "662-335-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. TAYLOR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "HENDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-335-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08078210",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.