Individual provider Active NPI

Michael Aron Taylor, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1780649491
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008914 Issued in IL
Practice address
4956 W Irving Park Rd
Suite 200
Chicago, IL 60641-2640
Phone
(773) 725-5835
Fax
(773) 725-5834
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008914 IL Primary

Addresses

Primary practice location

4956 W Irving Park Rd
Suite 200
Chicago, IL 60641-2640

Mailing address

4956 W Irving Park Rd Ste 200
Chicago, IL 60641-2694
Phone (773) 725-5835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000231 IL Practitioner - Chiropractic 5395735849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5550 Touhy Ave
Suite 103
Skokie, IL 60077-3254
Phone (773) 725-5835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008914ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Chiropractic, S.C. Chiropractor CurrentSince May 16, 2003 Accepting new patients
Taylor Chiropractic, S.C. Chiropractor Current Accepting new patients

Locations

4906 N Western Ave
Chicago, IL 60625
Phone (773) 334-3767

4956 W Irving Park Rd
Ste 200
Chicago, IL 60641
Phone (773) 725-5835

5550 Touhy Ave
Ste 103
Skokie, IL 60077
Phone (773) 725-5835

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1780649491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 W IRVING PARK RD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412694",
            "telephone_number": "773-725-5835",
            "fax_number": "773-725-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 W IRVING PARK RD",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412640",
            "telephone_number": "773-725-5835",
            "fax_number": "773-725-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.