Organization Active NPI

Taylor Chiropractic, LLC

  • Chiropractor
  • Sikeston, MO
National Provider Identifier
1467724237
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003006442 Issued in MO
Legal business name
TAYLOR CHIROPRACTIC, LLC
Practice address
1222 Linn St
Sikeston, MO 63801-3402
Phone
(573) 471-4652
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Brett Taylor, D.C.NPI 1780851410
Title
Sole Member
Phone
(573) 621-0015

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 2003006442 MO Primary

Addresses

Primary practice location

1222 Linn St
Sikeston, MO 63801-3402

Mailing address

1222 Linn St
Sikeston, MO 63801-3402
Phone (573) 471-4652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000811 MO Part B Supplier - Clinic/Group Practice 3274793773 Receives reassigned benefits from 1 practitioner
Practice locations: Sikeston, MO

National Provider Directory

National Provider Directory

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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1467724237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 LINN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013402",
            "telephone_number": "573-471-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 LINN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013402",
            "telephone_number": "573-471-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "573-621-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003006442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.