Individual provider Active NPI

Landon Christopher Taylor, D.C.

  • Chiropractor
  • Georgetown, KY
National Provider Identifier
1548499031
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5196 Issued in KY
Practice address
100 Eastside Dr
Georgetown, KY 40324-9797
Phone
(502) 868-0097
Fax
(502) 868-7499
NPI assigned
Jul 6, 2009
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5196 KY Primary

Addresses

Primary practice location

100 Eastside Dr
Georgetown, KY 40324-9797

Mailing address

100 Eastside Dr
Georgetown, KY 40324-9797
Phone (502) 868-0097

Other practice location 1

101 N Maysville St
MT Sterling, KY 40353-1113
Phone (859) 404-4557

Other identifiers 1

IdentifierTypeStateIssuer
7100266610MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000582 KY Practitioner - Chiropractic 2264587229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
LCT Chiropractic PLLCGroup PAC ID 4981991825, 3 clinicians

Practice addresses (Care Compare)

100 Eastside Dr
Georgetown, KY 40324-9797
Phone (502) 868-0097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5196KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LCT Chiropractic PLLC Chiropractor CurrentSince Jul 27, 2016 Accepting new patients
LCT Chiropractic PLLC Chiropractor CurrentSince Jul 27, 2016 Accepting new patients
Healing Hands Inc Chiropractor CurrentSince May 30, 2013 Accepting new patients
Erlanger Chiropractic, PSC Chiropractor Past Accepting new patients

Locations

100 Eastside Dr
Georgetown, KY 40324
Phone (502) 868-0097

1335 US Highway 68
Maysville, KY 41056
Phone (606) 564-4213

101 N Maysville St
Mt Sterling, KY 40353
Phone (859) 404-4557

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1548499031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EASTSIDE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249797",
            "telephone_number": "502-868-0097",
            "fax_number": "502-868-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EASTSIDE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249797",
            "telephone_number": "502-868-0097",
            "fax_number": "502-868-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Maysville St",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403531113",
            "country_code": "US",
            "telephone_number": "859-404-4557",
            "fax_number": "502-868-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LANDON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100266610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.