Active NPI
Jeffery Y. Taylor, DMD, PA
- General Practice Dentistry
- Gulfport, MS
National Provider Identifier
1477866994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2575-90
- Legal business name
- JEFFERY Y. TAYLOR, DMD, PA
- Practice address
- 431 Security SQ
Gulfport, MS 39507-1922 - Phone
- (228) 896-4325
- Fax
- (228) 896-5787
- NPI assigned
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Schmidt Taylor, DMD
- Title
- General Dentist
- Phone
- (228) 896-4325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2575-90 | MS | Primary |
Addresses
Primary practice location
431 Security SQ
Gulfport, MS 39507-1922
Mailing address
431 Security SQ
Gulfport, MS 39507-1922
Phone (228) 896-4325
National Provider Directory
National Provider Directory- Tax ID family
- Jeffery Y Taylor DMD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Periodontics
- Gulfport, MS
- NPI 1932282563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280102400000",
"number": "1477866994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-896-4325",
"fax_number": "228-896-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 SECURITY SQ",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071922",
"telephone_number": "228-896-4325",
"fax_number": "228-896-5787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERY Y. TAYLOR, DMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "SCHMIDT",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "228-896-4325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "2575-90",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.