NPIMap

Organization Active NPI

Gary N Taylor DDS, Ms, PC

  • Endodontics
  • Countryside, IL
National Provider Identifier
1548428899
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
021-000978 Issued in IL
Legal business name
GARY N TAYLOR DDS, MS, PC
Practice address
475 W 55TH St
Suite 208
Countryside, IL 60525-3564
Phone
(708) 579-0488
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Gary Norman Taylor, DDS
Title
President
Phone
(708) 579-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 021-000978 IL Primary

Addresses

Primary practice location

475 W 55TH St
Suite 208
Countryside, IL 60525-3564

Mailing address

475 W 55TH St
Suite 208
Countryside, IL 60525-3564
Phone (708) 579-0488

National Provider Directory

National Provider Directory

Locations

475 W 55th St
Ste 208
Countryside, IL 60525
Phone (708) 579-0488

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1548428899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W 55TH ST",
            "address_2": "SUITE 208",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253564",
            "telephone_number": "708-579-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 55TH ST",
            "address_2": "SUITE 208",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253564",
            "telephone_number": "708-579-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY N TAYLOR DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-579-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021-000978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.