John W. Taylor, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8386 Issued in AZ

Legal business name

JOHN W. TAYLOR, DDS, PLLC

Doing business as

Kids Grins Pediatric Dentistry

Practice address

4540 E Baseline Rd.
Ste. 102
Mesa, AZ 85206

Phone

(480) 830-5466

Fax

(480) 830-5577

NPI assigned

Nov 14, 2007

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John William Taylor, DDSNPI 1508178898

Title

Owner/Pediatric Dentist

Phone

(480) 830-5466

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kids Grins Pediatric Dentistry Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kids Grins-Queen Creek

  • Pediatric Dentistry
  • Queen Creek, AZ
  • NPI 1184347833
  NPPES parent name

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.

• John William Taylor, D.D.S.

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1508178898
  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1245411644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD.",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-830-5466",
            "fax_number": "480-830-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD.",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-830-5466",
            "fax_number": "480-830-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. TAYLOR, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "480-830-5466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "8386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689851",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Grins Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Johansen, NP
• John D Holmes MD PC
• John M Morris DDS PLLC (Hollywood Orthodontics)
• John Patterson DMD
• John W Reed OD LLC
• Alyssa Johns, LM, CPM
• Amy Johns, MS,CCC-SLP
• Amy Elizabeth Johns
• Bryson Johns
• Rebecca Ann Johns, FNP-C

• Pediatric Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.