Individual provider Active NPI

Taylor Ann Taraski, DC

  • Chiropractor
  • Zeeland, MI
National Provider Identifier
1790436962
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401193 Issued in MI
Practice address
10990 Chicago Dr
Zeeland, MI 49464-8100
Phone
(616) 546-3500
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401193 MI Primary

Addresses

Primary practice location

10990 Chicago Dr
Zeeland, MI 49464-8100

Mailing address

5597 Hummer Lake Rd
Oxford, MI 48371-2813
Phone (248) 978-4013

Other practice location 1

1930 W Milham Ave Ste D
Portage, MI 49024-2228
Phone (269) 345-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120000774 MI Practitioner - Chiropractic 4486046653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Chiropractic Wellness Center PCGroup PAC ID 9234132655, 7 clinicians

Practice addresses (Care Compare)

10990 Chicago Dr
Zeeland, MI 49464-8100
Phone (616) 546-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401193MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic - Portage PC Chiropractor CurrentSince Jan 11, 2022 Accepting new patients

Locations

1930 W Milham Ave
Ste D
Portage, MI 49024
Phone (269) 345-2271

10990 Chicago Dr
Zeeland, MI 49464
Phone (616) 546-3500

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1790436962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 HUMMER LAKE RD",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483712813",
            "telephone_number": "248-978-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648100",
            "telephone_number": "616-546-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 W Milham Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490242228",
            "country_code": "US",
            "telephone_number": "269-345-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARASKI",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.