Individual provider Active NPI

Leigh Ann Taylor, D.C.

  • Chiropractor
  • Huber Heights, OH
National Provider Identifier
1295866705
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3455 Issued in OH
Practice address
8501 Old Troy Pike
Suite 190
Huber Heights, OH 45424-1054
Phone
(937) 233-4055
Fax
(937) 233-4077
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3455 OH Primary

Addresses

Primary practice location

8501 Old Troy Pike
Suite 190
Huber Heights, OH 45424-1054

Mailing address

4114 Brookston Dr
Springfield, OH 45502-8622
Phone (937) 233-4055

Other identifiers 1

IdentifierTypeStateIssuer
000000354540OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031113000716 OH Practitioner - Chiropractic 9335053495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
May accept Medicare assignment
Group practices
JlaatGroup PAC ID 4688716848, 2 clinicians

Practice addresses (Care Compare)

8501 Old Troy Pike
Suite 190
Huber Heights, OH 45424-1061
Phone (937) 233-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3455OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jlaat Chiropractor CurrentSince Dec 28, 2009 Accepting new patients
Living Well Spine Center, LLC Chiropractor PastSince Sep 2, 2003 Accepting new patients

Locations

8501 Old Troy Pike
Ste 190
Huber Heights, OH 45424
Phone (937) 233-4055

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1295866705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 BROOKSTON DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028622",
            "telephone_number": "937-233-4055",
            "fax_number": "937-233-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OLD TROY PIKE",
            "address_2": "SUITE 190",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241054",
            "telephone_number": "937-233-4055",
            "fax_number": "937-233-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000354540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.