Individual provider Active NPI

Stuart F Taylor, DDS

  • General Practice Dentistry
  • Crowley, LA
National Provider Identifier
1649349960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA5509 Issued in LA
Practice address
608 North Avenue K
Crowley, LA 70526
Phone
(337) 788-0677
Fax
(337) 783-0343
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 LA5509 LA Primary

Addresses

Primary practice location

608 North Avenue K
Crowley, LA 70526

Mailing address

608 North Avenue K
Crowley, LA 70526
Phone (337) 788-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806011990 LA Order and Referring Only - DentistPractitioner - Dentist 9032423884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LA5509LAMDGeneral Practice Dentistry
5509LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Smiles 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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649349960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NORTH AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-788-0677",
            "fax_number": "337-783-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NORTH AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-788-0677",
            "fax_number": "337-783-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STUART",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.