Individual provider Active NPI

Taylor Pratt, DMD

  • General Practice Dentistry
  • Junction City, KS
National Provider Identifier
1023530979
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61444 Issued in KS
Practice address
361 Grant Ave
Junction City, KS 66441-4201
Phone
(785) 238-1829
NPI assigned
Jul 12, 2017
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61444 KS Primary

Addresses

Primary practice location

361 Grant Ave
Junction City, KS 66441-4201

Mailing address

720 Ladera Cir
Manhattan, KS 66503-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250319003677 KS Practitioner - Dentist 7517489545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61444KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Konza Prairie Community Health Center, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Konza Prairie Community Health Center, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Konza Prairie Community Health Center, Inc. Past Accepting new patients

Locations

361 Grant Ave
Junction City, KS 66441
Phone (785) 238-4711

222 N 6th St
Ste 100
Manhattan, KS 66502
Phone (785) 320-7134

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFCAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFCAD/Endpoint/JAFCAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1023530979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LADERA CIR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665034005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GRANT AVE",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414201",
            "telephone_number": "785-238-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.