Individual provider Active NPI

Emerson Samuel Taylor Jr., DC

  • Chiropractor
  • Batavia, OH
National Provider Identifier
1528164811
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2947 Issued in OH
Practice address
25 N Market St
Batavia, OH 45103-2906
Phone
(513) 515-4937
Fax
(844) 692-7290
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05921 NJ
Chiropractor 111N00000X 2947 OH Primary

Addresses

Primary practice location

25 N Market St
Batavia, OH 45103-2906

Mailing address

25 N Market St
Batavia, OH 45103-2906
Phone (513) 515-4937

Other identifiers 4

IdentifierTypeStateIssuer
2528312MedicaidOH
H249632OtherOHOH MEDICARE INDIVIDUAL
659365OtherOHACN
H249631OtherOHOHIO MEDICARE GROUP

Other names 1

  • Dr. Emerson Samuel Taylor Jr. Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC05921NJMDChiropractor
2947OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Chiropractic Center Inc Past Accepting new patients
Family Chiropractic of Circleville LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1528164811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032906",
            "telephone_number": "513-515-4937",
            "fax_number": "844-692-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032906",
            "telephone_number": "513-515-4937",
            "fax_number": "844-692-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EMERSON",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05921",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2528312",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICARE INDIVIDUAL",
            "identifier": "H249632",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "659365",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICARE GROUP",
            "identifier": "H249631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMERSON",
            "last_name": "TAYLOR",
            "middle_name": "SAMUEL",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.