Active NPI
Craig Lynn Taylor, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Austin, TX
National Provider Identifier
1104086735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 25175
- Practice address
- 7816 Research Blvd., #125
Austin, TX 78758-7861 - Phone
- (512) 454-4646
- NPI assigned
- Jun 17, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 25175 | TX | |
| Pediatric Dentistry | 1223P0221X | 00000000000000000000 | PA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 25175 | TX | Primary |
Addresses
Primary practice location
7816 Research Blvd., #125
Austin, TX 78758-7861
Mailing address
310 Parke Wind Way
Cedar Park, TX 78613-3191
Phone (254) 339-9251
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 |
|---|---|---|---|
| 00000000000000000000 | PA | MD | General Practice Dentistry |
| 25175 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Austin Pediatric Dental, PLLC | Pediatric Dentistry | Past | Accepting new patients |
| S & N Dental | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Austin, TX
- NPI 1215280557
-
- Pediatric Dentistry
- Austin, TX
- NPI 1578896973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1104086735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PARKE WIND WAY",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133191",
"telephone_number": "254-339-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7816 RESEARCH BLVD., #125",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787587861",
"telephone_number": "512-454-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CRAIG",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "25175",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "00000000000000000000",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "25175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.