Individual provider Active NPI

Thomas A Taylor III, B.S.,D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1801153341
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3735 Issued in SC
Practice address
820 Central Ave Unit F
Summerville, SC 29483-3743
Phone
(843) 771-4286
Fax
(843) 771-4179
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 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 DC3735 SC Primary

Addresses

Primary practice location

820 Central Ave Unit F
Summerville, SC 29483-3743

Mailing address

820 Central Ave Unit F
Summerville, SC 29483-3743
Phone (843) 771-4286

Other identifiers 1

IdentifierTypeStateIssuer
CH3735MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000307 SC Practitioner - Chiropractic 2668624305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

820 Central Ave
Unit F
Summerville, SC 29483-3743
Phone (843) 771-4286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
DC3735SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alignment Chiropractic, LLC Chiropractor CurrentSince Oct 8, 2012 Accepting new patients

Locations

820 Central Ave
Unit F
Summerville, SC 29483
Phone (843) 452-5560

606 Trolley Rd
Ste 102
Summerville, SC 29485
Phone (843) 771-4286

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1801153341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CENTRAL AVE UNIT F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833743",
            "telephone_number": "843-771-4286",
            "fax_number": "843-771-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CENTRAL AVE UNIT F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833743",
            "telephone_number": "843-771-4286",
            "fax_number": "843-771-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "B.S.,D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC3735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3735",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

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