Blake Taylor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16269 Issued in AR

Practice address

1997 Batesville Blvd
Southside, AR 72501-7896

Phone

(870) 613-1464

NPI assigned

Feb 3, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southside Family Chiropractic, LLC

  • Clinic/Center
  • Southside, AR
  • NPI 1639741986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1821689605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ATCHISON PL",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018003",
            "telephone_number": "501-291-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725017896",
            "telephone_number": "870-613-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Snelgrove, MD
• Southside Family Chiropractic, LLC
• Steele Healthcare Services, PA
• Olivia Sturdivant, PTA
• Alexis Taylor
• Kathryn Tharp, FNP-BC
• Emily Thompson, PTA
• Kailee McGhee Warner
• Jennifer Renea Williams, LMT
• Lee Wilson, PHARM. D

• Chiropractor in Southside, AR
• Providers in Southside, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.