Active NPI
Taylor Donovan, D.C.
- Chiropractor
- Reno, NV
National Provider Identifier
1740513829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B1200
- Practice address
- 1055 W Moana LN
Suite 101
Reno, NV 89509-4776 - Phone
- (775) 852-0446
- NPI assigned
- Sep 8, 2009
- Last updated
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B1200 | NV | Primary |
Addresses
Primary practice location
1055 W Moana LN
Suite 101
Reno, NV 89509-4776
Mailing address
1055 W Moana LN
Suite 101
Reno, NV 89509-4776
Phone (775) 852-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1200 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1740513829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 W MOANA LN",
"address_2": "SUITE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895094776",
"telephone_number": "775-852-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 W MOANA LN",
"address_2": "SUITE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895094776",
"telephone_number": "775-852-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B1200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.