Individual provider Active NPI

Thomas Dean Taylor, D.C.

  • Chiropractor
  • Batesville, AR
National Provider Identifier
1861604886
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
940 Issued in AR
Practice address
1361 White Drive
Batesville, AR 72501
Phone
(870) 698-1650
Fax
(870) 793-4790
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 940 AR Primary

Addresses

Primary practice location

1361 White Drive
Batesville, AR 72501

Mailing address

P.O. Box 2544
Batesville, AR 72503-2544
Phone (870) 698-1650

Other identifiers 1

IdentifierTypeStateIssuer
102737718MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000402 AR Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9830103662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1361 White Dr
Batesville, AR 72501-9467
Phone (870) 698-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
940ARMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
White River Chiropractic Life Center, Inc. Chiropractor CurrentSince Feb 4, 1992 Accepting new patients

Locations

1361 White Dr
Batesville, AR 72501
Phone (870) 698-1650

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1861604886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2544",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032544",
            "telephone_number": "870-698-1650",
            "fax_number": "870-793-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 WHITE DRIVE",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-698-1650",
            "fax_number": "870-793-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THOMAS",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102737718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.