Individual provider Active NPI

Erin M. Taylor, D.M.D

  • Pediatric Dentistry
  • Bonita Springs, FL
National Provider Identifier
1417018953
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17031 Issued in FL
Practice address
9510 Bonita Beach Rd SE
Suite 101
Bonita Springs, FL 34135-4699
Phone
(239) 333-2990
Fax
(239) 333-2988
NPI assigned
Dec 12, 2006
Last updated
Aug 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS035699 PA
Pediatric Dentistry 1223P0221X 17031 FL Primary

Addresses

Primary practice location

9510 Bonita Beach Rd SE
Suite 101
Bonita Springs, FL 34135-4699

Mailing address

9510 Bonita Beach Rd SE
Suite 101
Bonita Springs, FL 34135-4699
Phone (239) 333-2990

Other identifiers 2

IdentifierTypeStateIssuer
000771300MedicaidFL
157163MedicaidPA

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
DS035699PAMDPediatric Dentist
17031FLMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry of Bonita Pediatric Dentistry Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1417018953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 BONITA BEACH RD SE",
            "address_2": "SUITE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354699",
            "telephone_number": "239-333-2990",
            "fax_number": "239-333-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 BONITA BEACH RD SE",
            "address_2": "SUITE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354699",
            "telephone_number": "239-333-2990",
            "fax_number": "239-333-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERIN",
        "middle_name": "M.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS035699",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "17031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000771300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157163",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.