Individual provider Active NPI

Paul M Taylor, DPM

  • Podiatrist
  • Silver Spring, MD
National Provider Identifier
1457325094
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00310 Issued in MD
Practice address
8630 Fenton St
Suite 1
Silver Spring, MD 20910-3806
Phone
(301) 587-5666
Fax
(301) 589-4479
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00310 MD Primary

Addresses

Primary practice location

8630 Fenton St
Suite 1
Silver Spring, MD 20910-3806

Mailing address

10901 Connecticut Ave
Suite 300
Kensington, MD 20895-1645
Phone (301) 933-7133

Other identifiers 1

IdentifierTypeStateIssuer
080116000MedicaidMD

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1457325094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE 300",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-587-5666",
            "fax_number": "301-589-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080116000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.