Taylor Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1029 Issued in MS

Legal business name

TAYLOR CHIROPRACTIC, INC.

Practice address

322 Highway 80 E
Suite D
Clinton, MS 39056-4726

Phone

(601) 925-1080

NPI assigned

Jul 10, 2006

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Roy Taylor, D.C.NPI 1831146257

Title

Chiropractor/Owner

Phone

(601) 925-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virgil Roy Taylor, D.C.

  • Chiropractor
  • Clinton, MS
  • NPI 1831146257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1164455143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 HIGHWAY 80 E",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564726",
            "telephone_number": "601-925-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HIGHWAY 80 E",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564726",
            "telephone_number": "601-925-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "601-925-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "457810148A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey J Swan
• Alicia Broadway Swann, AUDIOLOGIST
• Kelsey Long Sykes, OD
• Chekisha Tabb
• Sheron D Tate, MSW
• Elizabeth Taylor-Carter
• Angee Monique Taylor
• Virgil Roy Taylor, D.C.
• Noel Tello, LPTA
• Bobbie Jean Terry

• Chiropractor in Clinton, MS
• Providers in Clinton, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.