Active NPI
Parvez Taylor, DDS
- Dentist
- Redding, CA
National Provider Identifier
1083778096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49418
- Practice address
- 1350 Churn Creek Rd # F1
Redding, CA 96003-4087 - Phone
- (530) 224-1524
- Fax
- (530) 224-9637
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49418 | CA | Primary |
Addresses
Primary practice location
1350 Churn Creek Rd # F1
Redding, CA 96003-4087
Mailing address
1350 Churn Creek Rd # F1
Redding, CA 96003-4087
Phone (530) 224-1524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007001748 | CA | Order and Referring Only - Dentist | 4789992900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Dentist | Past | Accepting new patients |
Interoperability endpoints
- ptaylor@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Redding, CA
- NPI 1942353024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083778096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CHURN CREEK RD # F1",
"city": "REDDING",
"state": "CA",
"postal_code": "960034087",
"telephone_number": "530-224-1524",
"fax_number": "530-224-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CHURN CREEK RD # F1",
"city": "REDDING",
"state": "CA",
"postal_code": "960034087",
"telephone_number": "530-224-1524",
"fax_number": "530-224-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PARVEZ",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.