Active NPI
Moirae Michelle Taylor, MD
- Anesthesiology Physician
- Carrollton, TX
National Provider Identifier
1346226529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K5714
- Practice address
- 4343 N Josey LN
Carrollton, TX 75010-4603 - Phone
- (972) 394-2412
- Fax
- (972) 394-2328
- NPI assigned
- Dec 19, 2005
- Last updated
- May 21, 2014
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K5714 | TX | Primary |
Addresses
Primary practice location
4343 N Josey LN
Carrollton, TX 75010-4603
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146788810 | Other | TX | MEDICAID CSHCN |
| 146788801 | Medicaid | TX | |
| 146788809 | Medicaid | TX | |
| 146788807 | Medicaid | TX | |
| 8B1132 | Other | TX | BCBS |
| 146788806 | Medicaid | TX | |
| 146788808 | Other | TX | MEDICAID CSHCN |
| 14678803 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5714 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1346226529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104603",
"telephone_number": "972-394-2412",
"fax_number": "972-394-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MOIRAE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K5714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "146788810",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146788801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146788809",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146788807",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8B1132",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146788806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "146788808",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14678803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.