Active NPI
Kristen Nicolette Taylor, DDS
- Dentist
- Warren, MI
National Provider Identifier
1326608712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000000000
- Practice address
- 4669 E 8 Mile Rd
Warren, MI 48091-2709 - Phone
- (313) 416-6262
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 000000000 | MI | Primary |
Addresses
Primary practice location
4669 E 8 Mile Rd
Warren, MI 48091-2709
Mailing address
1035 W Washington Ave
Alpena, MI 49707-2929
Phone (989) 358-0673
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 |
|---|---|---|---|
| 000000000 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Plan Medical Centers | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCBDCD
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.
-
- Clinic/Center
- Detroit, MI
- NPI 1043373244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1326608712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W WASHINGTON AVE",
"city": "ALPENA",
"state": "MI",
"postal_code": "497072929",
"telephone_number": "989-358-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4669 E 8 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480912709",
"telephone_number": "313-416-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KRISTEN",
"middle_name": "NICOLETTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2022-12-22",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.