Individual provider Active NPI

Taylor Paul Cotton, D.D.S.

  • Endodontics
  • Bryan, TX
National Provider Identifier
1356513675
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22765 Issued in TX
Practice address
4444 Carter Creek Pkwy
Suite 100
Bryan, TX 77802-4467
Phone
(979) 846-2626
Fax
(888) 285-0156
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22765 TX Primary

Addresses

Primary practice location

4444 Carter Creek Pkwy
Suite 100
Bryan, TX 77802-4467

Mailing address

4444 Carter Creek Pkwy
Suite 100
Bryan, TX 77802-4467
Phone (979) 846-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114001938 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567647696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1356513675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CARTER CREEK PKWY",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024467",
            "telephone_number": "979-846-2626",
            "fax_number": "979-846-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CARTER CREEK PKWY",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024467",
            "telephone_number": "979-846-2626",
            "fax_number": "888-285-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "TAYLOR",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "22765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.