Active NPI
Russell Scott Taylor, DDS
- General Practice Dentistry
- Poquoson, VA
National Provider Identifier
1083787931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411431
- Practice address
- 534 A Wythe Creek Road
Poquoson, VA 23662 - Phone
- (575) 868-9334
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401411431 | VA | Primary |
Addresses
Primary practice location
534 A Wythe Creek Road
Poquoson, VA 23662
Mailing address
534 A Wythe Creek Road
Poquoson, VA 23662
Phone (575) 868-9334
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 |
|---|---|---|---|
| 0401411431 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083787931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 A WYTHE CREEK ROAD",
"city": "POQUOSON",
"state": "VA",
"postal_code": "23662",
"telephone_number": "575-868-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 A WYTHE CREEK ROAD",
"city": "POQUOSON",
"state": "VA",
"postal_code": "23662",
"telephone_number": "575-868-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RUSSELL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poquoson, VA
- Spring Horizon Health and Wellness LLC
- Dajana Srbljan, PHARMD
- Lindsey Marie Steward
- Lawrence James Svihla, DC
- Donald Leon Taylor Jr., DDS
- Titanium Dental PLLC (First Light Dental of Coastal VA)
- Francisco Vega-Bermudez, MD PHD
- Virginia CVS Pharmacy LLC (Cvs Pharmacy #10937)
- Jeannie Wakelyn, MS ATC LT
- Wave of Words Speech and Language Therapy LLC.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.