Active NPI
Corey Alan Taylor, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS045392
- Practice address
- 909 Walnut St
Philadelphia, PA 19107-5211 - Phone
- (215) 955-6215
- NPI assigned
- Mar 24, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9785 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12757 | NC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS045392 | PA | Primary |
Addresses
Primary practice location
909 Walnut St
Philadelphia, PA 19107-5211
Mailing address
3111 Springbank LN Ste a
Charlotte, NC 28226-3373
Phone (704) 541-3603
Other practice location 1
1003 N 6th St
Albemarle, NC 28001-3551
Phone (704) 983-2502
Other practice location 2
3111 Springbank Ln Ste A
Charlotte, NC 28226-3373
Phone (704) 541-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Virginia Commonwealth Univ School of Dentistry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
111 S 11TH St
Philadelphia, PA 19107-4824
834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779
909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211
Phone (215) 955-7000
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9785 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 12757 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Swann & Tallent, PA | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1003 N 6th St
Albemarle, NC 28001
Phone (704) 983-2502
3111 Springbank Ln
Ste A
Charlotte, NC 28226
Phone (704) 541-3603
135 S Bryn Mawr Ave
Ste 108
Bryn Mawr, PA 19010
Phone (610) 688-6682
909 Walnut St
Philadelphia, PA 19107
Phone (215) 503-7008
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- ctaylor19291@ukhcdirect.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Charlotte, NC
- NPI 1285672717
Oral and Maxillofacial Surgery
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1326400789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 SPRINGBANK LN STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263373",
"telephone_number": "704-541-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075211",
"telephone_number": "215-955-6215"
}
],
"practiceLocations": [
{
"address_1": "1003 N 6th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013551",
"country_code": "US",
"telephone_number": "704-983-2502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3111 Springbank Ln Ste A",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282263373",
"country_code": "US",
"telephone_number": "704-541-3603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "COREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "9785",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "12757",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS045392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.