Individual provider Active NPI

Tayler Tague, D.C.

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1235940719
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003496A Issued in IN
Practice address
622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone
(317) 885-8520
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003496A IN Primary

Addresses

Primary practice location

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052

Mailing address

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone (317) 885-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002892 IN Practitioner - Chiropractic 9830629807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Storm Chiropractic Clinic LLCGroup PAC ID 7315176724, 4 clinicians

Practice addresses (Care Compare)

622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052
Phone (317) 885-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Storm Chiropractic Clinic LLC Chiropractor CurrentSince Jan 15, 2025 Accepting new patients

Locations

622 N Madison Ave
Ste 7
Greenwood, IN 46142

622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1235940719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-885-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-885-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUE",
        "first_name": "TAYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003496A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.