Individual provider Active NPI

Jonnie Kay Gilbert Taylor, D.C.

  • Orthopedic Chiropractor
  • Great Falls, MT
National Provider Identifier
1265581359
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1030 Issued in MT
Practice address
1308 12TH Ave S
Great Falls, MT 59405-4604
Phone
(406) 453-1369
Fax
(406) 453-8887
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1030 MT Primary

Addresses

Primary practice location

1308 12TH Ave S
Great Falls, MT 59405-4604

Mailing address

1308 12TH Ave S
Great Falls, MT 59405-4604
Phone (406) 453-1369

Other identifiers 1

IdentifierTypeStateIssuer
P00119675OtherMTMEDICARE RAIL ROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000603 MT Practitioner - Chiropractic 7810906781 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1308 9TH Ave S
Great Falls, MT 59405-2659
Phone (406) 453-1369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1030MTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265581359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 12TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054604",
            "telephone_number": "406-453-1369",
            "fax_number": "406-453-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 12TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054604",
            "telephone_number": "406-453-1369",
            "fax_number": "406-453-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT TAYLOR",
        "first_name": "JONNIE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MT",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00119675",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

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