Individual provider Active NPI

David Taylor, D.C.

  • Chiropractor
  • Goldsboro, NC
National Provider Identifier
1669535506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2621 Issued in NC
Practice address
1802 E Ash St
Goldsboro, NC 27530-4045
Phone
(919) 735-2205
Fax
(919) 735-2045
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2621 NC Primary

Addresses

Primary practice location

1802 E Ash St
Goldsboro, NC 27530-4045

Mailing address

1802 E Ash St
Goldsboro, NC 27530-4045
Phone (919) 735-2205

Other identifiers 1

IdentifierTypeStateIssuer
890837VMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000980 NC Practitioner - Chiropractic 0749313476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Gum Branch Rd
Jacksonville, NC 28540-5016
Phone (910) 455-6696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2621NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Chiropractic & Wellness Chiropractor CurrentSince May 15, 2010 Accepting new patients
Holly Ridge Healthcare PA CurrentSince Aug 1, 2015 Accepting new patients

Locations

1802 E Ash St
Goldsboro, NC 27530
Phone (919) 735-2205

119 Holly St
Holly Ridge, NC 28445
Phone (910) 329-1707

1201 Gum Branch Rd
Jacksonville, NC 28540
Phone (910) 353-1991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2160/brand/41/csg/42/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2160/brand/42/csg/81/fhir/r4

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669535506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304045",
            "telephone_number": "919-735-2205",
            "fax_number": "919-735-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304045",
            "telephone_number": "919-735-2205",
            "fax_number": "919-735-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890837V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.