Individual provider Active NPI

Chad Robert Taylor, D.O.

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1871937417
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006644 Issued in AZ
Practice address
2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone
(928) 527-4325
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 006644 AZ Primary

Addresses

Primary practice location

2001 N 4TH St
Flagstaff, AZ 86004-4227

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

3269 Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160520000884 AZ Practitioner - Family PracticePractitioner - Dermatology 1658660212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone (928) 527-4325

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions209
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Martins Inc a C C Family Medicine CurrentSince May 1, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

120 Northview Rd
Ste 1
Sedona, AZ 86336
Phone (928) 527-4325

Interoperability endpoints

  • Direct secure messaging: ctaylor119234@westdirect.optum.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1871937417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044227",
            "telephone_number": "928-527-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3269 Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093619",
            "country_code": "US",
            "telephone_number": "928-757-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHAD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.