Individual provider Active NPI

Christopher Mark Taylor, DC

  • Chiropractor
  • Waco, TX
National Provider Identifier
1861025983
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14363 Issued in TX
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

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14363TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Redeemed Chiropractic LLC Chiropractor CurrentSince May 21, 2023 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.

Verify at the official NPI Registry.