Taylor Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TAYLOR ORTHODONTICS LLC

Practice address

200 W Wilshire Blvd Ste E
Roswell, NM 88201-0627

Phone

(575) 622-4369

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Taylor Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1114532181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WILSHIRE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010627",
            "telephone_number": "575-622-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WILSHIRE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010627",
            "telephone_number": "575-622-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joeanna Marie Talamantes, CST-CSFA
• Gim H Tan, MD
• Mindy Tanner, LMHC
• Sara Tapia
• Mike Thomas Tattershall, LISW
• Connor Taylor
• Elizabeth A Taylor
• Michael Martin Taylor, DDS, MSD
• Lidice Tejeda Hernandez
• Ralph Tellez, MA

• Orthodontics and Dentofacial Orthopedics Dentistry in Roswell, NM
• Providers in Roswell, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.