Active NPI
Thanh Taylor, D.O.
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1376586545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K9907
- Practice address
- 5423 E 5TH St Ste D
Katy, TX 77493-2522 - Phone
- (888) 704-9203
- Fax
- (888) 369-0336
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9907 | TX | Primary |
Addresses
Primary practice location
5423 E 5TH St Ste D
Katy, TX 77493-2522
Mailing address
21022 Barker Canyon LN
Katy, TX 77450-6900
Phone (888) 704-9203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147007201 | Medicaid | TX | |
| 00784Q | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvear Family First, P.a. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- thanh.taylor.1@12705.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Katy, TX
- NPI 1073794673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1376586545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21022 BARKER CANYON LN",
"city": "KATY",
"state": "TX",
"postal_code": "774506900",
"telephone_number": "888-704-9203",
"fax_number": "888-369-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5423 E 5TH ST STE D",
"city": "KATY",
"state": "TX",
"postal_code": "774932522",
"telephone_number": "888-704-9203",
"fax_number": "888-369-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THANH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K9907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147007201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00784Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.