Organization Active NPI

Irish Taylor Dental LLC

  • Dentist
  • Omaha, NE
National Provider Identifier
1386876076
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6678 Issued in NE
Legal business name
IRISH TAYLOR DENTAL LLC
Practice address
4843 S 24TH St
Omaha, NE 68107-2704
Phone
(402) 731-0388
Fax
(402) 884-0921
NPI assigned
Aug 14, 2009
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Paul Kingsley Taylor Jr., DDSNPI 1922072305
Title
Co-Owner
Phone
(402) 731-0388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6678 NE Primary

Addresses

Primary practice location

4843 S 24TH St
Omaha, NE 68107-2704

Mailing address

4843 S 24TH St
Omaha, NE 68107-2704
Phone (402) 731-0388

National Provider Directory

National Provider Directory

Locations

4843 S 24th St
Omaha, NE 68107
Phone (402) 731-0388

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1386876076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072704",
            "telephone_number": "402-731-0388",
            "fax_number": "402-884-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072704",
            "telephone_number": "402-731-0388",
            "fax_number": "402-884-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISH TAYLOR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "KINGSLEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-731-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.