Individual provider Active NPI

Ronald Chad Taylor, D.M.D.

  • Dentist
  • Pinson, AL
National Provider Identifier
1053604801
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5834 Issued in AL
Practice address
5239 Old Springville Rd
Suite 202
Pinson, AL 35126-7607
Phone
(205) 853-8990
Fax
(205) 853-8990
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5834 AL Primary

Addresses

Primary practice location

5239 Old Springville Rd
Suite 202
Pinson, AL 35126-7607

Mailing address

5239 Old Springville Rd
Suite 202
Pinson, AL 35126-7607
Phone (205) 853-8080

Other names 1

  • Dr. Chad Taylor Professional name

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

LicenseStateTypeSpecialty
5834ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1053604801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 OLD SPRINGVILLE RD",
            "address_2": "SUITE 202",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351267607",
            "telephone_number": "205-853-8080",
            "fax_number": "205-853-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 OLD SPRINGVILLE RD",
            "address_2": "SUITE 202",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351267607",
            "telephone_number": "205-853-8990",
            "fax_number": "205-853-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RONALD",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pinson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.