Active NPI
Stuart M. Taylor Sr., D.D.S.
- Dentist
- Cordova, TN
National Provider Identifier
1639204837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS4950
- Practice address
- 86 Timber Creek Dr
Suite 3
Cordova, TN 38018-4284 - Phone
- (901) 756-0002
- Fax
- (901) 756-0002
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS4950 | TN | Primary |
Addresses
Primary practice location
86 Timber Creek Dr
Suite 3
Cordova, TN 38018-4284
Mailing address
86 Timber Creek Dr
Suite 3
Cordova, TN 38018-4284
Phone (901) 756-0002
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 |
|---|---|---|---|
| DS4950 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639204837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 TIMBER CREEK DR",
"address_2": "SUITE 3",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184284",
"telephone_number": "901-756-0002",
"fax_number": "901-756-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 TIMBER CREEK DR",
"address_2": "SUITE 3",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184284",
"telephone_number": "901-756-0002",
"fax_number": "901-756-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "STUART",
"middle_name": "M.",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS4950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
- Curtisha Renee Taylor, LCSW
- Erika Taylor, M.A., CCC-SLP
- Hannah Leigh Taylor, PT, DPT
- Latonya Taylor
- Maureen Taylor, RD, LDN
- Taura Taylor, M.ED
- Tender Ears, LLC
- Tennessee CVS Pharmacy LLC (CVS Pharmacy #06628)
- Tennessee Dental Professionals, PC (Dentistry on Walnut Grove)
- Tennessee Dental Professionals, PC (Dental Care on Macon)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.