NPIMap

Organization Active NPI

Jeffrey L Taylor DDS & Associates 1

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1174064133
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6702 Issued in MD
Legal business name
JEFFREY L TAYLOR DDS & ASSOCIATES 1
Practice address
8757 Georgia Ave
Suite 530
Silver Spring, MD 20910-3737
Phone
(301) 587-6696
Fax
(301) 608-9648
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Robert Mantoni, DDSNPI 1174666838
Title
President
Phone
(301) 587-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6702 MD Primary

Addresses

Primary practice location

8757 Georgia Ave
Suite 530
Silver Spring, MD 20910-3737

Mailing address

8757 Georgia Ave
Suite 530
Silver Spring, MD 20910-3737
Phone (301) 587-6696

Other identifiers 1

IdentifierTypeStateIssuer
045072700MedicaidDC

National Provider Directory

National Provider Directory

Locations

8757 Georgia Ave
Ste 530
Silver Spring, MD 20910
Phone (301) 587-6696

Practitioners & affiliated clinicians

Practitioners 4

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1174064133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE",
            "address_2": "SUITE 530",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103737",
            "telephone_number": "301-587-6696",
            "fax_number": "301-608-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 GEORGIA AVE",
            "address_2": "SUITE 530",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103737",
            "telephone_number": "301-587-6696",
            "fax_number": "301-608-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L TAYLOR DDS & ASSOCIATES 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MANTONI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-587-6696",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045072700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.