Active NPI
William Ben Taylor, D.D.S.
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1275547408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15372
- Practice address
- 6756 Poss Rd
San Antonio, TX 78238-2258 - Phone
- (210) 680-7841
- Fax
- (210) 680-3503
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 15372 | TX | Primary |
Addresses
Primary practice location
6756 Poss Rd
San Antonio, TX 78238-2258
Mailing address
6756 Poss Rd
San Antonio, TX 78238-2258
Phone (210) 680-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111279902 | Medicaid | TX |
Other names 1
- Dr. Ben Taylor
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15372 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of San Antonio | Pediatric Dentistry | Past | Accepting new patients |
| Cantu Pediatric Dentistry PLLC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- wtaylor62179@direct.utmsa.com
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1265514590
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1265849095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1275547408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6756 POSS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782382258",
"telephone_number": "210-680-7841",
"fax_number": "210-680-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6756 POSS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782382258",
"telephone_number": "210-680-7841",
"fax_number": "210-680-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "WILLIAM",
"middle_name": "BEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "15372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111279902",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEN",
"last_name": "TAYLOR",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.