Individual provider Active NPI

Taylor Phillips, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1790481208
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15514 Issued in TX
Practice address
7324 Gaston Ave Ste 118
Dallas, TX 75214-6126
Phone
(214) 812-9906
Fax
(214) 484-6612
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15514 TX Primary

Addresses

Primary practice location

7324 Gaston Ave Ste 118
Dallas, TX 75214-6126

Mailing address

2619 Hartman St Apt 2327
Dallas, TX 75204-2667
Phone (724) 994-6418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000026 TX Practitioner - Chiropractic 9335589308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Dallas One LLC Chiropractor CurrentSince Apr 16, 2024 Accepting new patients

Locations

7324 Gaston Ave
#118100
Dallas, TX 75214
Phone (214) 812-9906

7324 Gaston Ave
Ste 118
Dallas, TX 75214
Phone (214) 812-9906

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1790481208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 HARTMAN ST APT 2327",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042667",
            "telephone_number": "724-994-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 GASTON AVE STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146126",
            "telephone_number": "214-812-9906",
            "fax_number": "214-484-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.