Organization Active NPI

Keith a. Taylor, DDS, PA

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1114376357
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5371 Issued in NC
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

Updated by the provider on Jun 8, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.