Active NPI
Alan Mack Taylor II, M.D.
- Cardiovascular Disease Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- K4586
- Practice address
- 2800 E Broad St Ste 312
Mansfield, TX 76063-6412 - Phone
- (469) 513-2666
- Fax
- (469) 513-2667
- NPI assigned
- Jun 1, 2005
- Last updated
- May 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-075421 | IL | |
| Specialist | 174400000X | MC09647R | LA | |
| Specialist | 174400000X | K4586 | TX | |
| Specialist | 174400000X | R6J98 | MO | |
| Specialist | 174400000X | 181909-1 | NY | |
| Specialist | 174400000X | 30929 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | K4586 | TX | Primary |
Addresses
Primary practice location
2800 E Broad St Ste 312
Mansfield, TX 76063-6412
Mailing address
74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111
Other practice location 1
74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111 ext. 1103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046202001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111
851 Hwy 287 N
Mansfield, TX 76063-2664
Phone (469) 513-2666
Hospital & facility affiliations
- Methodist Mansfield Medical Center
- Methodist Midlothian Medical Center
- Methodist Charlton Medical Center
- Baylor Scott and White Emergency Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-075421 | IL | MD | Specialist |
| 30929 | KY | MD | Specialist |
| MC09647R | LA | MD | Specialist |
| R6J98 | MO | MD | Specialist |
| 181909-1 | NY | MD | Specialist |
| K4586 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Cardiovascular Care of Dallas, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Medvision, L.L.C. | Current | Accepting new patients | |
| Medical Expense Division, Inc. | Current | Accepting new patients |
Locations
3650 W Wheatland Rd
Ste C
Dallas, TX 75237
Phone (214) 774-9771
8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602
1018 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 915-8967
2800 E Broad St
Ste 312
Mansfield, TX 76063
Phone (817) 467-1990
74 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-6111
851 Highway 287 N
Mansfield, TX 76063
Phone (817) 277-3999
Interoperability endpoints
- https://api.platform.athenahealth.com/11201/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/23023/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Arlington Pain and Therapy
- Physical Therapy Clinic/Center
- Mansfield, TX
- NPI 1740440437
-
- Cardiovascular Disease Physician
- Dallas, TX
- NPI 1356892558
-
- Diagnostic Radiology Physician
- Montgomery, AL
- NPI 1457508244
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Emergency Medical Center at Mansfield
- General Acute Care Hospital
- Mansfield, TX
- NPI 1598196206
-
dba Baylor Scott & White Emergency Hospital Burleson
- General Acute Care Hospital
- Burleson, TX
- NPI 1679903967
-
dba Baylor Scott & White Emergency Hospital Grand Prairie
- General Acute Care Hospital
- Grand Prairie, TX
- NPI 1831629526
-
dba Methodist Charlton Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
dba Methodist Midlothian Medical Center
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1649272923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 REGENCY PKWY",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637816",
"telephone_number": "817-419-6111",
"fax_number": "817-701-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 312",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636412",
"telephone_number": "469-513-2666",
"fax_number": "469-513-2667"
}
],
"practiceLocations": [
{
"address_1": "74 Regency Pkwy",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760637816",
"country_code": "US",
"telephone_number": "817-419-6111 x1103",
"fax_number": "817-701-4902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "ALAN",
"middle_name": "MACK",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-075421",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MC09647R",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K4586",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R6J98",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "181909-1",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "30929",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K4586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046202001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.