Active NPI
Scott M Taylor
- Dentist
- Thousand Oaks, CA
National Provider Identifier
1003047879
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective May 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38758
- Practice address
- 509 Marin St
Suite 228
Thousand Oaks, CA 91360-4261 - Phone
- (805) 495-9916
- Fax
- (805) 495-6117
- NPI assigned
- Jul 28, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38758 | CA | Primary |
Addresses
Primary practice location
509 Marin St
Suite 228
Thousand Oaks, CA 91360-4261
Mailing address
509 Marin St.
Suite 228
Thousand Oaks, CA 91360
Phone (805) 495-9916
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38758 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1003047879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MARIN ST.",
"address_2": "SUITE 228",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-495-9916",
"fax_number": "805-495-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MARIN ST",
"address_2": "SUITE 228",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604261",
"telephone_number": "805-495-9916",
"fax_number": "805-495-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SCOTT",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.