Active NPI
David Thomas Tayloe III, M.D.
- Pediatrics Physician
- New Bern, NC
National Provider Identifier
1235355918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010-00186
- Practice address
- 703 Newman Rd
Coastal Children's Clinic
New Bern, NC 28562-5239 - Phone
- (252) 633-2900
- NPI assigned
- Apr 18, 2007
- Last updated
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2010-00186 | NC | Primary |
Addresses
Primary practice location
703 Newman Rd
Coastal Children's Clinic
New Bern, NC 28562-5239
Mailing address
703 Newman Rd
Coastal Children's Clinic
New Bern, NC 28562-5239
Phone (252) 633-2900
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-00186 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1235355918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 NEWMAN RD",
"address_2": "COASTAL CHILDREN'S CLINIC",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625239",
"telephone_number": "252-633-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 NEWMAN RD",
"address_2": "COASTAL CHILDREN'S CLINIC",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625239",
"telephone_number": "252-633-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOE",
"first_name": "DAVID",
"middle_name": "THOMAS",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2010-00186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.