Individual provider Active NPI

J. Dustin Taylor, D.C.

  • Chiropractor
  • Batesville, AR
National Provider Identifier
1881886893
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1715 Issued in AR
Practice address
1361 White Dr
Batesville, AR 72501-9467
Phone
(870) 698-1650
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1715 AR Primary

Addresses

Primary practice location

1361 White Dr
Batesville, AR 72501-9467

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000140 AR Practitioner - Chiropractic 9234202193 Reassigns benefits to 1 organization
Practice locations: Batesville, AR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Harrison St
Suite a
Batesville, AR 72501-6949
Phone (870) 569-4909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1715ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Management Services, Inc CurrentSince Aug 1, 2018 Accepting new patients
White River Chiropractic Life Center, Inc. Chiropractor PastSince Jan 1, 2006 Accepting new patients

Locations

920 Harrison St
#A
Batesville, AR 72501
Phone (870) 569-4909

1180 Hometown Cmns
Mountain Home, AR 72653
Phone (870) 701-5008

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1881886893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 WHITE DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019467",
            "telephone_number": "870-698-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 WHITE DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019467",
            "telephone_number": "870-698-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "J.",
        "middle_name": "DUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.