Individual provider Active NPI

Taylor Funk

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1386201614
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010490 Issued in AZ
Practice address
21803 N Scottsdale Rd Ste 260
Scottsdale, AZ 85255-7467
Phone
(480) 659-9499
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019032073 IL
General Practice Dentistry 1223G0001X D010490 AZ Primary

Addresses

Primary practice location

21803 N Scottsdale Rd Ste 260
Scottsdale, AZ 85255-7467

Mailing address

36815 N Boulder View Dr
Scottsdale, AZ 85262-3913
Phone (530) 300-2200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019032073ILMDDentist
D010490AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jordyn & Taylor Family Dental, PLLC General Practice CurrentSince Mar 1, 2024 Accepting new patients
Affordable Dentistry Today General Practice Past Accepting new patients

Locations

21070 N Pima Rd
Scottsdale, AZ 85255

21803 N Scottsdale Rd
Ste 260
Scottsdale, AZ 85255
Phone (480) 659-9499

8900 E Pinnacle Peak Rd
Ste D210
Scottsdale, AZ 85255
Phone (480) 659-9499

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.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1386201614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36815 N BOULDER VIEW DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623913",
            "telephone_number": "530-300-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 260",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557467",
            "telephone_number": "480-659-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032073",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.