Jared Lynn Taylor, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1002 Issued in SD

Practice address

2620 Jackson Blvd Ste B
Rapid City, SD 57702-3478

Phone

(605) 348-1712

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jared Taylor Professional name

Medicare fee-for-service enrollment

Enrolled in SD

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.

• Jared L Taylor DMD PLLC

  dba Chandler Dental Excellence

  • Dentist
  • Chandler, AZ
  • NPI 1902589260
  NPD Authorized official

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1225359292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-348-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-348-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 E Warner Rd",
            "address_2": "3104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852250997",
            "country_code": "US",
            "telephone_number": "480-786-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JARED",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7986",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "JARED L. TAYLOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen Tamang, MD
• Kristy Tanner
• Kathyayini Tappeta, MD
• Meesha Tavares, LMT
• Angela Jane Taylor, B.S
• Tracy A Taylor
• Brooke Tedford
• Lukas Tedford, BS
• Michelle Teeslink, ACT
• Shannon Tegethoff, OTRL

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.