Active NPI
Tommy Dwayne Taylor, DC
- Chiropractor
- Louisa, KY
National Provider Identifier
1972531390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4428
- Practice address
- 307 W Madison St
Louisa, KY 41230-1361 - Phone
- (606) 638-9898
- Fax
- (606) 638-0748
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4428 | KY | Primary |
Addresses
Primary practice location
307 W Madison St
Louisa, KY 41230-1361
Mailing address
307 W Madison St
Louisa, KY 41230-1361
Phone (606) 638-9898
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510000000 | Medicaid | WV | |
| 000000042934 | Other | BLUE CROSS BLUE SHIELD | |
| 85000099 | Medicaid | KY | |
| 5821703 | Other | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1972531390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W MADISON ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301361",
"telephone_number": "606-638-9898",
"fax_number": "606-638-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W MADISON ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301361",
"telephone_number": "606-638-9898",
"fax_number": "606-638-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TOMMY",
"middle_name": "DWAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0510000000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000042934",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000099",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5821703",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.