Shane Trent Taylor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4965 Issued in NV

Practice address

3016 W Charleston Blvd Ste 145
Las Vegas, NV 89102-1964

Phone

(702) 380-1212

Fax

(888) 353-4948

NPI assigned

Jun 15, 2006

Last updated

Apr 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lionize PLLC

  • Dental Clinic/Center
  • Washington, UT
  • NPI 1326201088
  Authorized official Same address or phone
• Peterson Dental Group, PC

  dba Gentle Dental Charleston

  • Dentist
  • Las Vegas, NV
  • NPI 1912114257
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1437193075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E FORT PIERCE DR N UNIT 8",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908855",
            "telephone_number": "435-275-5000",
            "fax_number": "888-353-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021964",
            "telephone_number": "702-380-1212",
            "fax_number": "888-353-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHANE",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "973448669922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semaj Taylor
• Shabrina Taylor
• Shameka Taylor
• Shamoya Taylor
• Shana Taylor
• Shavon Taylor
• Shavonne Monique Taylor
• Shera Taylor
• Shiarra Taylor
• Shirel Taylor

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.