Individual provider Active NPI

Taylor Michelle Isaak, DMD

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1235055120
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2026027800 Issued in MO
Practice address
12528 Olive Blvd Ste F
Saint Louis, MO 63141-6365
Phone
(314) 936-2185
NPI assigned
Jun 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2026027800 MO Primary

Addresses

Primary practice location

12528 Olive Blvd Ste F
Saint Louis, MO 63141-6365

Mailing address

539 Sarah LN Apt F
Saint Louis, MO 63141-6986
Phone (618) 918-1459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1235055120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 SARAH LN APT F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416986",
            "telephone_number": "618-918-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 OLIVE BLVD STE F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416365",
            "telephone_number": "314-936-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAK",
        "first_name": "TAYLOR",
        "middle_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026027800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.