Martha Elaine Taylor, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA45748 Issued in CA

Practice address

6114 Mohican Dr
Manteca, CA 95336-2519

Phone

(209) 823-4737

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Martha Elaine Valentine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457456063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 MOHICAN DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953362519",
            "telephone_number": "209-823-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 MOHICAN DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953362519",
            "telephone_number": "209-823-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARTHA",
        "middle_name": "ELAINE",
        "credential": "RDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA45748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "VALENTINE",
            "middle_name": "ELAINE",
            "credential": "RDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Kathleen Tackett, RCPII
• Tan Tran MD Inc
• Kicia Lynn Tappin
• Laura Tataille
• Joshua Jordan Taylor
• Felixberto Tejada, MD
• Youyou Mayuyu Teketesse
• Marina Tellez Orozco
• Chasidy Serrnia Tellez
• Mariel Telmo, DPM

• Dental Assistant in Manteca, CA
• Providers in Manteca, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.