Organization Active NPI

Total Endodontics, LLC

  • Endodontics
  • South Orange, NJ
National Provider Identifier
1124698931
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TOTAL ENDODONTICS, LLC
Practice address
71 Valley St Ste 100
South Orange, NJ 07079-2825
Phone
(301) 358-5538
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Ronald Cecil Taylor, DDS, MSD
Title
Owner
Phone
(301) 358-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

71 Valley St Ste 100
South Orange, NJ 07079-2825

Mailing address

16901 Melford Blvd Ste 332
Bowie, MD 20715-4455
Phone (301) 218-7711

Other practice location 1

300 Grand Ave
Englewood, NJ 07631-4398
Phone (301) 358-5538

National Provider Directory

National Provider Directory

Locations

71 Valley St
Ste 100
South Orange, NJ 07079
Phone (301) 358-5538

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1124698931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 MELFORD BLVD STE 332",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154455",
            "telephone_number": "301-218-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VALLEY ST STE 100",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792825",
            "telephone_number": "301-358-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076314398",
            "country_code": "US",
            "telephone_number": "301-358-5538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-358-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.