Organization Active NPI

Eric K. Taylor, DDS, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1104058478
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
2901013877 Issued in MI
Legal business name
ERIC K. TAYLOR, DDS, PC
Practice address
455 S. Livernois Road
B-12
Rochester Hills, MI 48307
Phone
(248) 652-7300
Fax
(248) 652-0637
NPI assigned
Aug 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Eric K. Taylor, DDS
Title
Periodontal Surgeon
Phone
(248) 652-7300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2901013877 MI
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2901013877 MI Primary

Addresses

Primary practice location

455 S. Livernois Road
B-12
Rochester Hills, MI 48307

Mailing address

455 S Livernois Rd
B-12
Rochester Hills, MI 48307-2578
Phone (248) 652-7300

Other names 1

  • Eric K. Taylor, DDS, PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1104058478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD",
            "address_2": "B-12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072578",
            "telephone_number": "248-652-7300",
            "fax_number": "248-652-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S. LIVERNOIS ROAD",
            "address_2": "B-12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-652-7300",
            "fax_number": "248-652-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC K. TAYLOR, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PERIODONTAL SURGEON",
        "authorized_official_telephone_number": "248-652-7300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "2901013877",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric K. Taylor, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.