Individual provider Active NPI

Scott Patrick Taylor, D.C.

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1336328848
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30096 Issued in CA
Practice address
507 Merchant St
Vacaville, CA 95688-4511
Phone
(707) 449-9217
Fax
(707) 449-9237
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30096 CA Primary

Addresses

Primary practice location

507 Merchant St
Vacaville, CA 95688-4511

Mailing address

507 Merchant St
Vacaville, CA 95688-4511
Phone (707) 449-9217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000443 CA Practitioner - Chiropractic 4183706112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 Merchant St
Vacaville, CA 95688-4511
Phone (707) 449-9217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC 30096CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Professional Chiropractic Corporation Chiropractor CurrentSince Aug 12, 2012 Accepting new patients
Dr. Dana S. Richardson, D.C. Healing Hands of Vacaville, Inc. Chiropractor Past Accepting new patients

Locations

507 Merchant St
Vacaville, CA 95688
Phone (707) 449-9217

145 W Main St
Woodland, CA 95695
Phone (530) 661-6100

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1336328848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MERCHANT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884511",
            "telephone_number": "707-449-9217",
            "fax_number": "707-449-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MERCHANT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884511",
            "telephone_number": "707-449-9217",
            "fax_number": "707-449-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.