NPIMap

Organization Active NPI

Juanita R. Taylor, DDS, LLC

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1669619367
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JUANITA R. TAYLOR, DDS, LLC
Practice address
4615 Lafayette Rd Ste B
Indianapolis, IN 46254-2035
Phone
(317) 968-9700
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Juanita Renae Taylor, DDS
Title
Member/Owner
Phone
(317) 968-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4615 Lafayette Rd Ste B
Indianapolis, IN 46254-2035

Mailing address

4615 Lafayette Rd Ste B
Indianapolis, IN 46254-2035
Phone (317) 968-9700

Other names 1

  • CaringSmiles 4u Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caringsmiles 4U2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4615 Lafayette Rd
#B
Indianapolis, IN 46254
Phone (317) 968-9700

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1669619367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 LAFAYETTE RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542035",
            "telephone_number": "317-968-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 LAFAYETTE RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542035",
            "telephone_number": "317-968-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA R. TAYLOR, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "317-968-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaringSmiles 4u",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.