Active NPI
Lincoln Boyd Taylor, DDS
- Pediatric Dentistry
- Oviedo, FL
National Provider Identifier
1023397023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN0013359
- Practice address
- 7250 Redbug Lake Road
Suite 1024
Oviedo, FL 32765 - Phone
- (407) 977-8884
- Fax
- (407) 977-8494
- NPI assigned
- Aug 8, 2011
- Last updated
- Aug 8, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN0013359 | FL | Primary |
| Pediatric Dentistry | 1223P0221X | 11194 | MD | |
| Pediatric Dentistry | 1223P0221X | 0007070 | TN | |
| Pediatric Dentistry | 1223P0221X | 011461 | GA |
Addresses
Primary practice location
7250 Redbug Lake Road
Suite 1024
Oviedo, FL 32765
Mailing address
7250 Redbug Lake Road
Suite 1024
Oviedo, FL 32765
Phone (407) 977-8884
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0013359 | FL | MD | Pediatric Dentist |
| 011461 | GA | MD | Pediatric Dentist |
| 11194 | MD | MD | Pediatric Dentist |
| 0007070 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1023397023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 REDBUG LAKE ROAD",
"address_2": "SUITE 1024",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-977-8884",
"fax_number": "407-977-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 REDBUG LAKE ROAD",
"address_2": "SUITE 1024",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-977-8884",
"fax_number": "407-977-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LINCOLN",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN0013359",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "11194",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "0007070",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "011461",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.