Organization Active NPI

Tyler T Taylor Chiropractic Inc

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1629379516
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29731 Issued in CA
Legal business name
TYLER T TAYLOR CHIROPRACTIC INC
Practice address
445 Rosewood Ave
Suite a
Camarillo, CA 93010-5929
Phone
(805) 484-8930
Fax
(805) 987-5323
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Tyler Thomas Taylor, D.C.NPI 1164447827
Title
President/Owner
Phone
(805) 484-8930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 29731 CA Primary

Addresses

Primary practice location

445 Rosewood Ave
Suite a
Camarillo, CA 93010-5929

Mailing address

445 Rosewood Ave
Suite a
Camarillo, CA 93010-5929
Phone (805) 484-8930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000295 CA Part B Supplier - Clinic/Group Practice 8628258803 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

445 Rosewood Ave
Ste A
Camarillo, CA 93010
Phone (805) 484-8930

Practitioners & affiliated clinicians

Practitioners 2

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1629379516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-8930",
            "fax_number": "805-987-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-484-8930",
            "fax_number": "805-987-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER T TAYLOR CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-484-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.