Organization Active NPI

Sidney D. Taylor, D.C., P.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1306082565
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3287 Issued in OK
Legal business name
SIDNEY D. TAYLOR, D.C., P.C.
Practice address
3617 N. Meridian Ave
Suite 101
Oklahoma City, OK 73112-2823
Phone
(405) 946-9946
Fax
(405) 946-0757
NPI assigned
Dec 18, 2008
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Sidney D Taylor, DCNPI 1699770743
Title
President
Phone
(405) 946-9946

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 3287 OK Primary

Addresses

Primary practice location

3617 N. Meridian Ave
Suite 101
Oklahoma City, OK 73112-2823

Mailing address

3617 N. Meridian Ave
Suite 101
Oklahoma City, OK 73112-2823
Phone (405) 946-9946

Other identifiers 1

IdentifierTypeStateIssuer
OKB5316OtherOKGROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000061 OK Part B Supplier - Clinic/Group Practice 2860554706 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3617 N Meridian Ave
Ste 101
Oklahoma City, OK 73112
Phone (405) 816-4238

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1306082565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 N. MERIDIAN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122823",
            "telephone_number": "405-946-9946",
            "fax_number": "405-946-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 N. MERIDIAN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122823",
            "telephone_number": "405-946-9946",
            "fax_number": "405-946-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY D. TAYLOR, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-946-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "OKB5316",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.