Organization Active NPI

Taylor Chiropractic, PLC

  • Chiropractor
  • Otsego, MI
National Provider Identifier
1588836837
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004704 Issued in MI
Legal business name
TAYLOR CHIROPRACTIC, PLC
Practice address
911 Dix St
Suite D
Otsego, MI 49078-1608
Phone
(269) 694-5871
Fax
(269) 694-5869
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Mrs. Cheryl Ann Taylor
Title
Adm.
Phone
(269) 694-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004704 MI Primary

Addresses

Primary practice location

911 Dix St
Suite D
Otsego, MI 49078-1608

Mailing address

911 Dix St
Suite D
Otsego, MI 49078-1608
Phone (269) 694-5871

Other names 1

  • Otsego Family Chiropractic Wellness Clinic, PLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080626000032 MI Part B Supplier - Clinic/Group Practice 2163594755 Receives reassigned benefits from 1 practitioner
Practice locations: Otsego, MI

National Provider Directory

National Provider Directory

Locations

911 Dix St
Ste D
Otsego, MI 49078
Phone (269) 694-5871

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1588836837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 DIX ST",
            "address_2": "SUITE D",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781608",
            "telephone_number": "269-694-5871",
            "fax_number": "269-694-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 DIX ST",
            "address_2": "SUITE D",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781608",
            "telephone_number": "269-694-5871",
            "fax_number": "269-694-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "269-694-5871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otsego Family Chiropractic Wellness Clinic, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Otsego, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.