Active NPI
Ronald Chase Taylor, DMD
- Dentist
- Atmore, AL
National Provider Identifier
1497322184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-0006908-C1
- Practice address
- 111 E Ridgeley St
Atmore, AL 36502-2013 - Phone
- (251) 368-3237
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-0006908-C1 | AL | Primary |
Addresses
Primary practice location
111 E Ridgeley St
Atmore, AL 36502-2013
Mailing address
339 Dalewood Dr
Mobile, AL 36608-1530
Phone (251) 454-8482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-0006908-C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1497322184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 DALEWOOD DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081530",
"telephone_number": "251-454-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E RIDGELEY ST",
"city": "ATMORE",
"state": "AL",
"postal_code": "365022013",
"telephone_number": "251-368-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RONALD",
"middle_name": "CHASE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D-0006908-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atmore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.