Individual provider Active NPI

Trevor Clay Taylor, D.D.S.

  • General Practice Dentistry
  • Manchester, TN
National Provider Identifier
1629007042
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8507 Issued in TN
Practice address
53 Sitz Dr
Manchester, TN 37355-2156
Phone
(931) 723-6464
Fax
(931) 723-6404
NPI assigned
Jun 30, 2006
Last updated
Oct 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8507 TN Primary

Addresses

Primary practice location

53 Sitz Dr
Manchester, TN 37355-2156

Mailing address

53 Sitz Dr
Manchester, TN 37355-2156
Phone (931) 723-6464

Other names 1

  • Trevor Clay Taylor Professional name

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

LicenseStateTypeSpecialty
8507TNMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1629007042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SITZ DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552156",
            "telephone_number": "931-723-6464",
            "fax_number": "931-723-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SITZ DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552156",
            "telephone_number": "931-723-6464",
            "fax_number": "931-723-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TREVOR",
        "middle_name": "CLAY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVOR",
            "last_name": "TAYLOR",
            "middle_name": "CLAY",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.