Organization Active NPI

Jeffery Y. Taylor, DMD, PA

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1477866994
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2575-90 Issued in MS
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

Updated by the provider on Jul 26, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.