Active NPI
Ronald Wilson Taylor, D.D.S., M.S.
- Oral and Maxillofacial Surgery (Dentist)
- Saint Joseph, MO
National Provider Identifier
1588625206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 013525
- Practice address
- 3109 Frederick Ave
Suite a
Saint Joseph, MO 64506-2911 - Phone
- (816) 364-4774
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 013525 | MO | Primary |
Addresses
Primary practice location
3109 Frederick Ave
Suite a
Saint Joseph, MO 64506-2911
Mailing address
701 N Leonard Rd
Saint Joseph, MO 64506-3161
Phone (816) 232-2030
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1588625206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N LEONARD RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063161",
"telephone_number": "816-232-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 FREDERICK AVE",
"address_2": "SUITE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062911",
"telephone_number": "816-364-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RONALD",
"middle_name": "WILSON",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "013525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.