Individual provider Active NPI

Wendell Cole Taylor, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1316715121
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6349 Issued in OR
Practice address
524 SE 14TH Ave
Portland, OR 97214-2428
Phone
(971) 544-7058
Fax
(971) 244-9058
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 6349 OR Primary

Addresses

Primary practice location

524 SE 14TH Ave
Portland, OR 97214-2428

Mailing address

17055 K16 Hwy
Oskaloosa, KS 66066-4178
Phone (913) 775-1608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226004145 OR Practitioner - Chiropractic 4082195045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnybrook Chiropractic CorpGroup PAC ID 3577912542, 2 clinicians

Practice addresses (Care Compare)

2305 SE Washington St
Suite 105
Milwaukie, OR 97222-7647
Phone (503) 305-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6349ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Wellness Company Chiropractor CurrentSince Dec 17, 2023 Accepting new patients
Sunnybrook Chiropractic Corp Chiropractor CurrentSince Jan 14, 2026 Accepting new patients
Premier Care Chiropractic, LLC Chiropractor CurrentSince Dec 17, 2023 Accepting new patients

Locations

2305 SE Washington St
Ste 105
Portland, OR 97222
Phone (503) 305-8825

524 SE 14th Ave
Portland, OR 97214
Phone (971) 544-7058

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1316715121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 K16 HWY",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "660664178",
            "telephone_number": "913-775-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142428",
            "telephone_number": "971-544-7058",
            "fax_number": "971-244-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WENDELL",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.