Active NPI
Barry Joseph Taylor, DMD
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1659436160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7119
- Practice address
- 611 SW Campus Dr
Faculty Dental Practice, Room 19
Portland, OR 97239-3001 - Phone
- (503) 494-4316
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7119 | OR | Primary |
Addresses
Primary practice location
611 SW Campus Dr
Faculty Dental Practice, Room 19
Portland, OR 97239-3001
Mailing address
611 SW Campus Dr
Faculty Dental Practice, Room 19
Portland, OR 97239-3001
Phone (503) 494-4316
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 |
|---|---|---|---|
| D7119 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Health & Science University | 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": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1659436160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SW CAMPUS DR",
"address_2": "FACULTY DENTAL PRACTICE, ROOM 19",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393001",
"telephone_number": "503-494-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SW CAMPUS DR",
"address_2": "FACULTY DENTAL PRACTICE, ROOM 19",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393001",
"telephone_number": "503-494-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "BARRY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.