Active NPI
Roger Taylor, O.D.
- Optometrist
- Highlands Ranch, CO
National Provider Identifier
1609825009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1047
- Practice address
- 200 W County Line Rd
150
Highlands Ranch, CO 80129-2360 - Phone
- (303) 794-2433
- Fax
- (303) 730-3019
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1047 | CO | Primary |
Addresses
Primary practice location
200 W County Line Rd
150
Highlands Ranch, CO 80129-2360
Mailing address
7939 S Trenton St
Centennial, CO 80112-3320
Phone (303) 771-6745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08010472 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609825009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 S TRENTON ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123320",
"telephone_number": "303-771-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "150",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292360",
"telephone_number": "303-794-2433",
"fax_number": "303-730-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08010472",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.