Kevin Taylor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9003 Issued in NC

Practice address

2211 Executive St
Suite E
Charlotte, NC 28208-3661

Phone

(704) 395-6000

Fax

(704) 398-7373

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Michael a Derose DDS PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1457389108
  NPD (past)
• Rafael Rivera, Jr., DDS, PLLC

  • Dentist
  • Raleigh, NC
  • NPI 1700055613

  General Practice

  NPD (past)

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1447561147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 S WILMINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033538",
            "telephone_number": "919-773-3002",
            "fax_number": "919-773-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EXECUTIVE ST",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083661",
            "telephone_number": "704-395-6000",
            "fax_number": "704-398-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshuah S Taylor, LCMHCA, NCC
• Julia Elizabeth Taylor
• Kassidy Nicole Taylor, OT
• Kay W Taylor, NP
• Kayla Hitarra Ruth Felix Taylor, MD
• Lakesha Taylor, RN, BSN, CCM
• Lasharion Henderson Taylor, MA, LPC, NCC, CEAP
• Latimer Anthony Taylor, MD
• Lindsay Spears Taylor, PA-C
• Lindsey Chaney Taylor, PA-C

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

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