Active NPI
Thomas B Taylor III, DC CCEP
- Chiropractor
- Vancouver, WA
National Provider Identifier
1528014297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3248
- Practice address
- 109 SE 101St Ave
Vancouver, WA 98664-3907 - Phone
- (360) 573-9669
- Fax
- (360) 573-0448
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3248 | WA | Primary |
| Chiropractor | 111N00000X | CHIA1042 | ID | |
| Chiropractor | 111N00000X | 3222 | OR |
Addresses
Primary practice location
109 SE 101St Ave
Vancouver, WA 98664-3907
Mailing address
109 SE 101St Ave
Vancouver, WA 98664-3907
Phone (360) 573-9669
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113592 | Other | WA | DEPT LABOR AND INDUSTRIES |
| 112908 | Other | KAISER | |
| 1006336 | Other | AMERICAN SPECIALITY HLTH | |
| 070109 | Other | REGENCE BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3222 | OR | MD | Psychologist |
| CHIA1042 | ID | MD | Chiropractor |
| 3248 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soft Touch Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Vancouver, WA
- NPI 1982888608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1528014297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SE 101ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643907",
"telephone_number": "360-573-9669",
"fax_number": "360-573-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SE 101ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643907",
"telephone_number": "360-573-9669",
"fax_number": "360-573-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THOMAS",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC CCEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "3248",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA1042",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3222",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT LABOR AND INDUSTRIES",
"identifier": "0113592",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "112908",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALITY HLTH",
"identifier": "1006336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BC",
"identifier": "070109",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.