Active NPI
Kyle Taylor
- Orthodontics and Dentofacial Orthopedics Dentistry
- Toledo, OH
National Provider Identifier
1235616657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901022694
- Practice address
- 3504 Secor Rd Ste 330
Toledo, OH 43606-1545 - Phone
- (419) 534-3005
- NPI assigned
- Jul 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901022694 | MI | Primary |
Addresses
Primary practice location
3504 Secor Rd Ste 330
Toledo, OH 43606-1545
Mailing address
2603 Oak Valley Dr Apt 202
Ann Arbor, MI 48103-7703
Other practice location 1
3555 Navarre Ave Ste 12
Oregon, OH 43616-3459
Phone (419) 690-0320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022694 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meckler Dental Providers (Oregon), Inc | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba DentalWorks of Oregon
- Dentist
- Oregon, OH
- NPI 1114017639
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1235616657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 OAK VALLEY DR APT 202",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481037703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 SECOR RD STE 330",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061545",
"telephone_number": "419-534-3005"
}
],
"practiceLocations": [
{
"address_1": "3555 Navarre Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "OH",
"postal_code": "436163459",
"country_code": "US",
"telephone_number": "419-690-0320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-27",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901022694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.