Taylor Justice King, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

9469 Issued in TN

Practice address

1511 Robinson Rd
Old Hickory, TN 37138-2811

Phone

(615) 847-8111

Fax

(615) 847-8167

NPI assigned

Jun 11, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Dental, PLLC

  • General Practice Dentistry
  • Murfreesboro, TN
  • NPI 1194235176
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255693891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 ROBINSON RD",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382811",
            "telephone_number": "615-847-8111",
            "fax_number": "615-847-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 ROBINSON RD",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382811",
            "telephone_number": "615-847-8111",
            "fax_number": "615-847-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Dow St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302414",
            "country_code": "US",
            "telephone_number": "615-896-4860",
            "fax_number": "615-893-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TAYLOR",
        "middle_name": "JUSTICE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah W Jones, DDS
• James Eugene Jones
• Annie Kate Kane
• Theresa Khan, MSN, APN, FNP-BC
• Fred Taylor Kimbrell Jr., M.D.
• Rebekah Anne Koon, D.D.S.
• Krista M. Clark (Essential Accents)
• Cassandra Elizabeth Worley Leding, DDS
• Autumn Lunsford
• Maness Family Practice

• Dentist in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.