TAYLOR ANN MIRACLE DC
NPI 1336947019
Chiropractor in Lake Havasu City, AZ

Active since March 06, 2025Accepts Medicare Assignment
30 ACOMA BLVD S, LAKE HAVASU CITY, AZ 86403(928) 680-9500 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Taylor Ann Miracle Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR ANN MIRACLE DC (NPI 1336947019) is an individual chiropractor in Lake Havasu City, Arizona, licensed in Arizona (9427) and active in the NPI registry since March 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1336947019
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameTAYLOR ANN MIRACLECredential: DC
Location Address30 ACOMA BLVD SLake Havasu City, AZ 86403-5957
Mailing Address2875 Bluewater DrLake Havasu City, AZ 86403-5311 · (661) 547-0642
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 4, 2025
NPI 1336947019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 9427
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
30 ACOMA BLVD S, Lake Havasu City, AZ 86403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Taylor Ann Miracle Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638698145
PECOS Enrollment IDI20250528002524

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
30 ACOMA BLVD S, #101-103
LAKE HAVASU CITY, AZ 86403
Psychiatry & Neurology (Psychiatry)
30 ACOMA BLVD S, 101-103
LAKE HAVASU CITY, AZ 86403
Counselor
30 ACOMA BLVD S, SUITE101-103
LAKE HAVASU CITY, AZ 86403
Nurse Practitioner (Psychiatric/Mental Health)
30 ACOMA BLVD S
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Miracle's NPI number?

The NPI number for Taylor Miracle is 1336947019. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Taylor Miracle located?

Taylor Miracle practices at 30 Acoma Blvd S, Lake Havasu City, AZ 86403. The listed phone number is (928) 680-9500.

What is Taylor Miracle's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Taylor Miracle enrolled in Medicare?

Yes. Taylor Miracle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Taylor Miracle was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.