Jonathan R. Taylor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.024936 Issued in OH

Practice address

3028 N Wooster Ave
Dover, OH 44622-9469

Phone

(330) 364-4838

NPI assigned

Oct 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1013469188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-364-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-364-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JONATHAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evamarie Sudduth, CDCA
• Hannah Swiger
• William Vincent Swoger, D.O,F.C.C.P,DABSM
• Mohammed M Tamim, MD
• Anne M Taylor, CRNA
• Ray Malcolm Taylor Jr., D.D.S.
• Thomas Leslie Teater, MD
• The Inn at Northwood Village
• The Tamarkin Company
• The Tuscarawas County Young Men'S Christian Association

• General Practice Dentistry in Dover, OH
• Providers in Dover, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.