NPIMap

Organization Active NPI

Jeffrey S. Taylor D.C., P.C.

  • Chiropractor
  • Medford, OR
National Provider Identifier
1215136122
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71 3745 Issued in OR
Legal business name
JEFFREY S. TAYLOR D.C., P.C.
Practice address
1744 E McAndrews Rd
Suite a
Medford, OR 97504-5576
Phone
(541) 779-8338
Fax
(541) 858-0749
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Jeffrey Scott Taylor, D.C.NPI 1013116920
Title
President
Phone
(541) 779-8338

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 71 3745 OR Primary

Addresses

Primary practice location

1744 E McAndrews Rd
Suite a
Medford, OR 97504-5576

Mailing address

1744 E McAndrews Rd
Suite a
Medford, OR 97504-5576
Phone (541) 779-8338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000255 OR Part B Supplier - Clinic/Group Practice 0840382735 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

1744 E McAndrews Rd
Ste A
Medford, OR 97504
Phone (541) 772-2787

Practitioners & affiliated clinicians

Practitioners 6

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1215136122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-779-8338",
            "fax_number": "541-858-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-779-8338",
            "fax_number": "541-858-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. TAYLOR D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-779-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.