Active NPI
Keith a. Taylor, DDS, PA
- General Practice Dentistry
- Chapel Hill, NC
National Provider Identifier
1114376357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5371
- Legal business name
- KEITH A. TAYLOR, DDS, PA
- Practice address
- 110 Banks Dr
Chapel Hill, NC 27514-1514 - Phone
- (919) 942-5652
- NPI assigned
- Jun 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie L. Gruver
- Title
- Dental Consultant
- Phone
- (919) 900-0252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5371 | NC | Primary |
Addresses
Primary practice location
110 Banks Dr
Chapel Hill, NC 27514-1514
Mailing address
110 Banks Dr
Chapel Hill, NC 27514-1514
Phone (919) 942-5652
National Provider Directory
National Provider DirectoryLocations
110 Banks Dr
Chapel Hill, NC 27514
Phone (919) 942-5652
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chapel Hill, NC
- NPI 1447358163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1114376357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BANKS DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141514",
"telephone_number": "919-942-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BANKS DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141514",
"telephone_number": "919-942-5652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH A. TAYLOR, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "GRUVER",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DENTAL CONSULTANT",
"authorized_official_telephone_number": "919-900-0252"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.