Individual provider Active NPI

Gregory D. Taylor, D.C.

  • Sports Physician Chiropractor
  • Dallas, TX
National Provider Identifier
1154449874
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
7196 Issued in TX
Practice address
211 E Clarendon Dr
Dallas, TX 75203-2914
Phone
(214) 941-4903
Fax
(214) 941-4904
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 7196 TX Primary

Addresses

Primary practice location

211 E Clarendon Dr
Dallas, TX 75203-2914

Mailing address

PO Box 50256
Denton, TX 76206-0256
Phone (214) 941-4903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7196TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource FSM & C CurrentSince Oct 15, 2023 Accepting new patients
Benstel Healthcare Services Past Accepting new patients

Locations

211 E Clarendon Dr
Dallas, TX 75203
Phone (214) 282-5374

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1154449874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50256",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060256",
            "telephone_number": "214-941-4903",
            "fax_number": "214-941-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CLARENDON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032914",
            "telephone_number": "214-941-4903",
            "fax_number": "214-941-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "7196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.