Travis Ryan Taylor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-012343 Issued in IL

Practice address

2327 S Dirksen Pkwy
Springfield, IL 62703-4508

Phone

(217) 544-3628

Fax

(217) 544-3627

NPI assigned

Jan 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

66 Chiropractic IncGroup PAC ID 0941425862, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 66 Chiropractic Inc

  • Chiropractor
  • Springfield, IL
  • NPI 1205256823
  Medicare reassignment Care Compare group NPD Authorized official
• Unverzagt Family Chiropractic, LTD.

  • Chiropractor
  • Springfield, IL
  • NPI 1295977940
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1659618692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 S DIRKSEN PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034508",
            "telephone_number": "217-638-2031",
            "fax_number": "217-544-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 S DIRKSEN PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034508",
            "telephone_number": "217-544-3628",
            "fax_number": "217-544-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRAVIS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-012343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Taylor, MD
• Jessica Lorraine Taylor, APRN ,DNP, CNM
• Kelli D Taylor, LPC
• Stephanie Taylor
• Taneka Taylor
• Tyra Taylor
• Zelinda Ann Taylor, MD
• TCBF,Inc
• Sarah Teague, PTA
• Edward Teaman Jr., P.A.

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.