Active NPI
Christopher Mark Taylor, DC
- Chiropractor
- Waco, TX
National Provider Identifier
1861025983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14363
- Practice address
- 5725 Bagby Ave
Waco, TX 76712-6929 - Phone
- (254) 269-4843
- NPI assigned
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 14363 | TX | |
| Chiropractor | 111N00000X | 14363 | TX | Primary |
Addresses
Primary practice location
5725 Bagby Ave
Waco, TX 76712-6929
Mailing address
8300 Old McGregor Rd Ste 2a
Woodway, TX 76712-3600
Phone (254) 537-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14363 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redeemed Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
5725 Bagby Ave
Woodway, TX 76712
Phone (254) 269-4843
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": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1861025983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 OLD MCGREGOR RD STE 2A",
"city": "WOODWAY",
"state": "TX",
"postal_code": "767123600",
"telephone_number": "254-537-1064",
"fax_number": "254-537-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 BAGBY AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767126929",
"telephone_number": "254-269-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-17",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "14363",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.