Organization Active NPI

Taylor Texas Medicine, MD PA

  • Specialist
  • Richardson, TX
National Provider Identifier
1669655965
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3863 Issued in TX
Legal business name
TAYLOR TEXAS MEDICINE, MD PA
Practice address
1920 N Collins Blvd
Richardson, TX 75080-3525
Phone
(214) 575-8700
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Tad William Taylor, MDNPI 1841246121
Title
Physician
Phone
(214) 575-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K3863 TX Primary

Addresses

Primary practice location

1920 N Collins Blvd
Richardson, TX 75080-3525

Mailing address

1920 N Collins Blvd
Richardson, TX 75080-3525

Other identifiers 2

IdentifierTypeStateIssuer
0028NHOtherTXBCBS GROUP NUMBER
179486901MedicaidTX

National Provider Directory

National Provider Directory

Locations

403 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (214) 629-2882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1669655965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803525",
            "telephone_number": "214-575-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR TEXAS MEDICINE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-575-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0028NH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179486901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.