MEDICARE: DR. JAMES M TAYLOR JR. DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104000225	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014025	OTHER	VA	ANTHEM COLONIAL HEIGHTS
2	015865	OTHER	VA	ANTHEM MIDLOTHIAN

General Provider Information

NPI Number	:	1558429761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M TAYLOR JR. DC

Provider Business Mailing Address
First Line	:	16011 KAIROS RD STE 200
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23834-5207
Country	:	US
Telephone Number	:	804-526-1792
Fax Number	:	804-526-5764

Provider Business Practice Location Address
First Line	:	16011 KAIROS RD STE 200
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23834-5207
Country	:	US
Telephone Number	:	804-526-1792
Fax Number	:	804-526-5764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/28/2025

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