Active NPI
Marjorie Taylor, DDS
- Endodontics
- Davenport, IA
National Provider Identifier
1649431966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6289
- Practice address
- 2466 E Kimberly Rd
Suite B
Davenport, IA 52807-2338 - Phone
- (563) 359-4270
- Fax
- (563) 359-4320
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6289 | IA | Primary |
Addresses
Primary practice location
2466 E Kimberly Rd
Suite B
Davenport, IA 52807-2338
Mailing address
2466 E Kimberly Rd
Suite B
Davenport, IA 52807-2338
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 |
|---|---|---|---|
| 6289 | IA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1649431966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2466 E KIMBERLY RD",
"address_2": "SUITE B",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2466 E KIMBERLY RD",
"address_2": "SUITE B",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072338",
"telephone_number": "563-359-4270",
"fax_number": "563-359-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MARJORIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IA",
"license": "6289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.