Individual provider Active NPI

Matthew Milton Taylor, D.C

  • Chiropractor
  • St George, UT
National Provider Identifier
1659727683
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5937633-1202 Issued in UT
Practice address
1812 W Sunset Blvd
Suite 18
St George, UT 84770-6565
Phone
(435) 656-0521
Fax
(435) 304-3298
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5937633-1202 UT Primary

Addresses

Primary practice location

1812 W Sunset Blvd
Suite 18
St George, UT 84770-6565

Mailing address

1812 W Sunset Blvd
Suite 18
St George, UT 84770-6565
Phone (435) 656-0521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406003197 UT Practitioner - Chiropractic 7315412566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1397 W Sunset Blvd
Suite 109
St George, UT 84770-4212

786 Harrison Dr
St George, UT 84790-8823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5937633-1202UTMDChiropractor

Organizations & group practices 1

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1659727683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W SUNSET BLVD",
            "address_2": "SUITE 18",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706565",
            "telephone_number": "435-656-0521",
            "fax_number": "435-304-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W SUNSET BLVD",
            "address_2": "SUITE 18",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706565",
            "telephone_number": "435-656-0521",
            "fax_number": "435-304-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "middle_name": "MILTON",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5937633-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.