Individual provider Active NPI

Taylor S. Clabo, D.C.

  • Chiropractor
  • Sevierville, TN
National Provider Identifier
1851999809
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3489 Issued in TN
Practice address
615 Parkway
Sevierville, TN 37862-4345
Phone
(865) 437-9556
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2664 AL
Chiropractor 111N00000X 3489 TN Primary

Addresses

Primary practice location

615 Parkway
Sevierville, TN 37862-4345

Mailing address

615 Parkway # 615
Sevierville, TN 37862-4345
Phone (865) 437-9556

Other identifiers 2

IdentifierTypeStateIssuer
85-3309185OtherALTAX ID
87-3647798OtherTNTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ChiroTouch Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001698 TN Practitioner - Chiropractic 1456737675

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1658 Little Cove Church Rd
Sevierville, TN 37862-8032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2664ALMDChiropractor
3489TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SSG Chiropractic, Inc Chiropractor PastSince Oct 1, 2020 Accepting new patients
Wheeler Chiropractic Clinic, Inc Chiropractor PastSince Oct 1, 2020 Accepting new patients

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1851999809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PARKWAY # 615",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378624345",
            "telephone_number": "865-437-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PARKWAY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378624345",
            "telephone_number": "865-437-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABO",
        "first_name": "TAYLOR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2664",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "85-3309185",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "87-3647798",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "address_1": "615 Parkway # 615",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378624345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

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