Individual provider Active NPI

Robert Taylor World Jr.

  • General Practice Dentistry
  • West Valley, UT
National Provider Identifier
1154468908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
143329-9922 Issued in UT
Practice address
3540 S 4000 W
West Valley, UT 84120-3260
Phone
(801) 969-6200
Fax
(801) 963-0359
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 143329-9922 UT Primary

Addresses

Primary practice location

3540 S 4000 W
West Valley, UT 84120-3260

Mailing address

3540 S 4000 W
West Valley, UT 84120-3260
Phone (801) 969-6200

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

LicenseStateTypeSpecialty
143329-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154468908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841203260",
            "telephone_number": "801-969-6200",
            "fax_number": "801-963-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841203260",
            "telephone_number": "801-969-6200",
            "fax_number": "801-963-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLD",
        "first_name": "ROBERT",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "143329-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.