Andrew Taylor, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

61577 Issued in CA

Practice address

800 Corporate Dr Ste 220
Ladera Ranch, CA 92694-1154

Phone

(949) 347-2525

NPI assigned

Nov 28, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James M. Meeks, DDS., Ms., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ladera Ranch, CA
  • NPI 1003913658
  NPD (past)
• Stromberg and Shetty Dental Corporation

  dba Apple Valley Smiles

  • General Practice Dentistry
  • Apple Valley, CA
  • NPI 1639350119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1659814440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 220",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941154",
            "telephone_number": "949-347-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 220",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941154",
            "telephone_number": "949-347-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S C St",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804304",
            "country_code": "US",
            "telephone_number": "714-838-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREW",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T. Bui Dental Corporation (Ladera Smile Dentistry)
• Mariclaire Gladys Tajonera, PHARMD
• Meena Tanwar-Ahuja, M.D.
• Carl Taswell, MD
• Maegan Taussig, RD
• John Earle Taylor, D.D.S.
• Lisa Teschke-Nguyen, M.D.
• Noreen Theriault
• James Allen Thompson, M.D. PH.D.
• Kayla Torres

• Orthodontics and Dentofacial Orthopedics Dentistry in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.