Active NPI
Dorothea Gertrude Taylor, DMD
- General Practice Dentistry
- Ridge Spring, SC
National Provider Identifier
1639147176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- SC2602
- Practice address
- 634 E Main St
Ridge Spring, SC 29129-9139 - Phone
- (803) 685-5555
- Fax
- (803) 685-5519
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SC2602 | SC | Primary |
Addresses
Primary practice location
634 E Main St
Ridge Spring, SC 29129-9139
Mailing address
505 Washington Cir
Aiken, SC 29801-3571
Phone (803) 648-4243
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC2602 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr D G Taylor PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1639147176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WASHINGTON CIR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298013571",
"telephone_number": "803-648-4243",
"fax_number": "803-685-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 E MAIN ST",
"city": "RIDGE SPRING",
"state": "SC",
"postal_code": "291299139",
"telephone_number": "803-685-5555",
"fax_number": "803-685-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DOROTHEA",
"middle_name": "GERTRUDE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "SC2602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridge Spring, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.