Individual provider Active NPI

Tyler Thomas Taylor, D.C.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1164447827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29731 Issued in CA
Practice address
445 Rosewood Ave
Suite #a
Camarillo, CA 93010-5929
Phone
(805) 484-8930
Fax
(805) 987-5323
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29731 CA Primary

Addresses

Primary practice location

445 Rosewood Ave
Suite #a
Camarillo, CA 93010-5929

Mailing address

445 Rosewood Ave
Suite #a
Camarillo, CA 93010-5929
Phone (805) 484-8930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000315 CA Practitioner - Chiropractic 3971517889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

445 Rosewood Ave
Suite a
Camarillo, CA 93010-5930
Phone (805) 484-8930

445 Rosewood Ave a
Camarillo, CA 93010-5930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29731CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler T Taylor Chiropractic Inc Chiropractor CurrentSince Dec 11, 2010 Accepting new patients
Agoura Hills Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

445 Rosewood Ave
Ste A
Camarillo, CA 93010
Phone (805) 484-8930

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164447827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE #A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-8930",
            "fax_number": "805-987-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE #A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-8930",
            "fax_number": "805-987-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TYLER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.