Individual provider Active NPI

Sidney D. Taylor, D.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1699770743
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3287 Issued in OK
Practice address
3617 N Meridian Ave
Ste 101
Oklahoma City, OK 73112-2813
Phone
(405) 946-9946
Fax
(405) 946-0757
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3287 OK Primary
Chiropractor 111N00000X 6787 TX

Addresses

Primary practice location

3617 N Meridian Ave
Ste 101
Oklahoma City, OK 73112-2813

Mailing address

3617 N Meridian Ave
Suite 101
Oklahoma City, OK 73112-2824
Phone (405) 946-9946

Other identifiers 2

IdentifierTypeStateIssuer
OK700374OtherOKPTAN
350039133OtherOKRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000266 OK Practitioner - Chiropractic 5799847703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3617 N Meridian Ave
Suite 101
Oklahoma City, OK 73112-2823
Phone (405) 946-9946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney D. Taylor, D.C., P.C. Chiropractor CurrentSince Dec 31, 2008 Accepting new patients

Locations

3617 N Meridian Ave
Ste 101
Oklahoma City, OK 73112
Phone (405) 842-9440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1699770743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 N MERIDIAN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122824",
            "telephone_number": "405-946-9946",
            "fax_number": "405-946-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 N MERIDIAN AVE",
            "address_2": "STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122813",
            "telephone_number": "405-946-9946",
            "fax_number": "405-946-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SIDNEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3287",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OK700374",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350039133",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.