Individual provider Active NPI

Jason Curtis Taylor, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1750418240
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7539 Issued in AZ
Practice address
690 E Warner Rd
Suite 113
Gilbert, AZ 85296-3054
Phone
(480) 633-3399
Fax
(480) 633-5605
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7539 AZ Primary

Addresses

Primary practice location

690 E Warner Rd
Suite 113
Gilbert, AZ 85296-3054

Mailing address

690 E Warner Rd
Ste #113
Gilbert, AZ 85296-3054
Phone (480) 633-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000644 AZ Practitioner - Chiropractic 9931151669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

690 E Warner Rd
Suite 113
Gilbert, AZ 85296-3056
Phone (480) 633-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7539AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason C Taylor DC LLC CurrentSince Jan 1, 2007 Accepting new patients

Locations

690 E Warner Rd
Ste 113
Gilbert, AZ 85296
Phone (480) 633-3399

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1750418240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD",
            "address_2": "STE #113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963054",
            "telephone_number": "480-633-3399",
            "fax_number": "480-633-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD",
            "address_2": "SUITE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963054",
            "telephone_number": "480-633-3399",
            "fax_number": "480-633-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JASON",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.