Organization Active NPI

Keith a. Taulbee, D.C., Inc.

  • Chiropractor
  • Logan, OH
National Provider Identifier
1417131764
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2567 Issued in OH
Legal business name
KEITH A. TAULBEE, D.C., INC.
Practice address
75 W 2ND St
Logan, OH 43138-1886
Phone
(740) 380-9355
Fax
(740) 380-2273
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Keith Allen Taulbee, D.C.NPI 1154366490
Title
Owner
Phone
(740) 380-9355

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2567 OH Primary

Addresses

Primary practice location

75 W 2ND St
Logan, OH 43138-1886

Mailing address

75 W 2ND St
Logan, OH 43138-1886
Phone (740) 380-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000141 OH Part B Supplier - Clinic/Group Practice 8729163498 Receives reassigned benefits from 1 practitioner
Practice locations: Logan, OH

National Provider Directory

National Provider Directory

Locations

118 E Main St
Lancaster, OH 43130
Phone (740) 380-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1417131764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W 2ND ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381886",
            "telephone_number": "740-380-9355",
            "fax_number": "740-380-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W 2ND ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381886",
            "telephone_number": "740-380-9355",
            "fax_number": "740-380-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. TAULBEE, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "TAULBEE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-380-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.