Individual provider Active NPI

Gary N Taylor, MD

  • Contractor
  • Henderson, NV
National Provider Identifier
1033448741
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
154855-1205 Issued in UT
Practice address
1118 Tuscan Sky LN
#101
Henderson, NV 89002-0647
Phone
(702) 566-9454
Fax
(702) 566-9455
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 154855-1205 UT Primary

Addresses

Primary practice location

1118 Tuscan Sky LN
#101
Henderson, NV 89002-0647

Mailing address

1118 Tuscan Sky LN
#101
Henderson, NV 89002-0647
Phone (702) 566-9454

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
154855-1205UTMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1033448741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 TUSCAN SKY LN",
            "address_2": "#101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890020647",
            "telephone_number": "702-566-9454",
            "fax_number": "702-566-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 TUSCAN SKY LN",
            "address_2": "#101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890020647",
            "telephone_number": "702-566-9454",
            "fax_number": "702-566-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GARY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "UT",
            "license": "154855-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.