Joseph W Taliaferro II

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

1212 Marcus Run Rd
Waverly, OH 45690-9787

Phone

(937) 558-6800

NPI assigned

Sep 20, 2023

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1134907033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MARCUS RUN RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909787",
            "telephone_number": "937-558-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MARCUS RUN RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909787",
            "telephone_number": "937-558-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-01-30",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Tackett
• Vickie Lynn Tackett, NURSE
• Vladimir Tackett
• Whitley Ariel Tackett
• Paula Talbert, CDCA
• April Dawn Tate, RN
• Cheryl Lee Taylor, CMS
• Emily Morgan Taylor
• Kellie Taylor, CDCA
• Kelly Lorene Taylor

• Home Modifications Contractor in Waverly, OH
• Providers in Waverly, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.