NPIMap

Organization Active NPI

Taylor Wagner Family Dentistry

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1497019673
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2732 Issued in AR
Legal business name
TAYLOR WAGNER FAMILY DENTISTRY
Practice address
2000 Fielders Rd
Jonesboro, AR 72401-1937
Phone
(870) 972-6985
NPI assigned
Jul 2, 2012
Last updated
Jul 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Dr. Bruce Taylor, DDSNPI 1477622967
Title
Owner
Phone
(870) 972-6985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2732 AR Primary

Addresses

Primary practice location

2000 Fielders Rd
Jonesboro, AR 72401-1937

Mailing address

2000 Fielders Rd
Jonesboro, AR 72401-1937
Phone (870) 972-6985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1497019673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FIELDERS RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011937",
            "telephone_number": "870-972-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FIELDERS RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011937",
            "telephone_number": "870-972-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR WAGNER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-6985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.