Russell Todd Taylor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6121 Issued in AZ

Practice address

4210 N 32ND St
Phoenix, AZ 85018-4723

Phone

(602) 957-0075

Fax

(602) 381-8299

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Russell T Taylor PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1720474851
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669532214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184723",
            "telephone_number": "602-957-0075",
            "fax_number": "602-381-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184723",
            "telephone_number": "602-957-0075",
            "fax_number": "602-381-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RUSSELL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Taylor, ANP
• Milinda Taylor, RBT
• Nicholas Jordan Taylor, PA-C
• Rachel Taylor, CPNP-PC
• Romai Taylor
• Samuel Taylor, LPC
• Shelby Taylor, LCSW
• Stephen Evan Taylor, PMHNP-BC
• Summer Taylor, PA-C
• Takira Taylor

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• 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.

Verify at the official NPI Registry.