Charles D. Taylor, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10953 Issued in MI

Practice address

77564 Country Club Drive #350
350
Palm Desert, CA 92211

Phone

(760) 772-7082

Fax

(760) 772-7085

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Krause-Taylor P.C.

  • General Practice Dentistry
  • Trenton, MI
  • NPI 1164693834
  NPD (past) Authorized official
• Dr a Daneshvar DDS Inc

  • Public Health Dentistry
  • Palm Desert, CA
  • NPI 1962364216
  NPD
• Dianatyazdi & Nadi Professional Dental Corporation

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1215338538
  NPD (past)
• Trenton Family Dental,P.C.

  • General Practice Dentistry
  • Trenton, MI
  • NPI 1578804720
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1194754069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DRIVE STE 350",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-772-7082",
            "fax_number": "760-772-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DRIVE #350",
            "address_2": "350",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-772-7082",
            "fax_number": "760-772-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "10953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalys Margarita Tamayo
• Cristina Garcia Tapia
• Christopher Germain Tarrant, D.C.
• Benjamin Tautges, OD
• Tara Tayeh
• John N Taylor, MD
• Ronald D Taylor, MD
• Oualid Tellissi, DMD
• Humberto A Tello
• Jackeline Tello

• Dentist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.