Shirley Ann Taulton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14702 Issued in TX

Practice address

4650 South Hampton Rd.
Suite 103
Dallas, TX 75232

Phone

(214) 943-1311

Fax

(214) 943-5125

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wynnewood Dental Care

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1841502879
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194940817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SOUTH HAMPTON RD.",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75232",
            "telephone_number": "214-943-1311",
            "fax_number": "214-943-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SOUTH HAMPTON RD.",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75232",
            "telephone_number": "214-943-1311",
            "fax_number": "214-943-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAULTON",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D14702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "47973",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Tatum
• Larry R Taub, M.D.
• Daniel Tauber, MD
• Carl David Tauch, CPO
• Jacob Heber Tauferner
• Joel David Taurog, MD
• Cam Lan Bui Tausheck, FNP
• Jacob Tausiani, M.D.
• Samantha Taussig
• Anna Tavakkoli, M.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.