Organization Active NPI

Taylor M. Clark, D.D.S., Professional LLC

  • Dental Clinic/Center
  • Durango, CO
National Provider Identifier
1225433170
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC
Practice address
835 E 2ND Ave
Suite 270
Durango, CO 81301-5475
Phone
(970) 247-4848
Fax
(970) 247-8320
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. Taylor Clark, DDS
Title
Owner
Phone
(970) 247-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

835 E 2ND Ave
Suite 270
Durango, CO 81301-5475

Mailing address

835 E 2ND Ave
Suite 270
Durango, CO 81301-5475
Phone (970) 247-4848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1225433170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 2ND AVE",
            "address_2": "SUITE 270",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015475",
            "telephone_number": "970-247-4848",
            "fax_number": "970-247-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 2ND AVE",
            "address_2": "SUITE 270",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015475",
            "telephone_number": "970-247-4848",
            "fax_number": "970-247-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-247-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.