Martinsville Pediatric Dentistry, L.L.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010198 Issued in IN

Legal business name

MARTINSVILLE PEDIATRIC DENTISTRY, L.L.C.

Practice address

1690 S Ohio St
Martinsville, IN 46151-3317

Phone

(765) 342-8435

Fax

(765) 342-3561

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Wayne Taylor, D.D.S.

Title

Owner/Pediatric Dentist

Phone

(812) 322-3834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1588035703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 S OHIO ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513317",
            "telephone_number": "765-342-8435",
            "fax_number": "765-342-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 S OHIO ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513317",
            "telephone_number": "765-342-8435",
            "fax_number": "765-342-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE PEDIATRIC DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "812-322-3834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Rosenberg (Bluff Creek Family Dental)
• Martinsville Chiropractic Care, P.C.
• Martinsville Family Eye Care Center Inc.
• Martinsville Family Eye Care Center Inc.
• Martinsville Fire Department
• Martinsville Pediatric Dentistry, LLC
• Martinsville Vision Clinic PC
• Montgomery W Marvel, D.D.S.
• Taylor A McClone
• McFadden Family Dentistry, P.C.

• Pediatric Dentistry in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.