Organization Active NPI

Jlaat

  • Chiropractor
  • Huber Heights, OH
National Provider Identifier
1720318645
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3455 Issued in OH
Legal business name
JLAAT
Practice address
8501 Old Troy Pike
Suite 190
Huber Heights, OH 45424-1054
Phone
(937) 233-4055
Fax
(937) 233-4077
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Leigh A. Taylor, D.C.NPI 1295866705
Title
Chiropractor
Phone
(937) 233-4055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3455 OH Primary

Addresses

Primary practice location

8501 Old Troy Pike
Suite 190
Huber Heights, OH 45424-1054

Mailing address

4114 Brookston Dr
Springfield, OH 45502-8622
Phone (937) 233-4055

Other identifiers 1

IdentifierTypeStateIssuer
JT9386591OtherOHMEDICARE PTAN

Other names 1

  • Taylor Family Wellness Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100126000700 OH Part B Supplier - Clinic/Group Practice 4688716848 Receives reassigned benefits from 2 practitioners
Practice locations: Huber Heights, OH

National Provider Directory

National Provider Directory

Locations

8501 Old Troy Pike
Ste 190
Huber Heights, OH 45424
Phone (937) 233-4055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1720318645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 BROOKSTON DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028622",
            "telephone_number": "937-233-4055",
            "fax_number": "937-233-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OLD TROY PIKE",
            "address_2": "SUITE 190",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241054",
            "telephone_number": "937-233-4055",
            "fax_number": "937-233-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLAAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-233-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "JT9386591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Family Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.