Taylor D Jarvis

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013556 Issued in NY

Practice address

1088 Brighton Rd
Tonawanda, NY 14150-8309

Phone

(716) 837-1711

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamie L Brenon DC PLLCGroup PAC ID 5991985798, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jamie L Brenon DC PLLC

  • Chiropractor
  • Tonawanda, NY
  • NPI 1912203456
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1497406326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508309",
            "telephone_number": "716-837-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508309",
            "telephone_number": "716-837-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "TAYLOR",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "013556",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jarvis",
            "affiliation": "N",
            "endpointDescription": "Jarvis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1088 Brighton Rd",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141508309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jarvis",
            "affiliation": "N",
            "endpointDescription": "Jarvis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1088 Brighton Rd",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141508309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajiv Jain, MD
• James a. Hoddick, D.D.S. & Thomas J. Balazs, D.D.S., L.L.P.
• James P Crawford, PT
• Jamie L Brenon DC PLLC
• Susan Jarvis, SLP
• Jeffrey B. Rockoff,MD,PC
• Kathryn Sarah Jerz, PHARMD
• Dianne Jesikiewicz, LCSWR
• Jessica Juergens Mental Health Counseling LMHC PLLC
• Ruthanne Jillian

• Chiropractor in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.