Zachary Taylor DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZACHARY TAYLOR DDS PLLC

Practice address

4266 N Eagle Rd
Boise, ID 83713-0726

Phone

(208) 939-7053

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Tuttle Taylor, DDSNPI 1407118490

Title

Owner

Phone

(801) 792-4291

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Tuttle Taylor, D.D.S.

  • General Practice Dentistry
  • Provo, UT
  • NPI 1407118490
  NPD Authorized official
• Stacy Jerald Moon, DDS

  • Dentist
  • Boise, ID
  • NPI 1881645166
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1467029736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 N ELENA MARIA PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130726",
            "telephone_number": "208-939-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY TAYLOR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "TUTTLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-792-4291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@mooncreekdental.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "4266 N Eagle Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837130726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Yun, DO
• Yvonne Honovich, PLLC (Live Right Chiropractic)
• Z Inc (Pauls Pharmacy #11)
• Camdyn Zacharias
• Erin E. Zacharias, M.S. CFY-SLP
• Tyler Zacher
• Marc Zafferani, D.O.
• Randall S Zager
• Nathan Zahrt, RN
• Azia Lee Zajanc

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.