Organization Active NPI

J M Taylor DDS Inc

  • General Practice Dentistry
  • Gilmer, TX
National Provider Identifier
1679662449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J M TAYLOR DDS INC
Practice address
409 W Tyler St
Gilmer, TX 75644
Phone
(903) 843-2996
Fax
(903) 843-3616
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jimmy Michael Taylor, DDSNPI 1790765188
Title
President
Phone
(903) 843-2996

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

409 W Tyler St
Gilmer, TX 75644

Mailing address

409 W Tyler St
Gilmer, TX 75644
Phone (903) 843-2996

Other identifiers 1

IdentifierTypeStateIssuer
794829OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

409 W Tyler St
Gilmer, TX 75644
Phone (903) 843-2996

Practitioners & affiliated clinicians

Practitioners 3

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679662449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W TYLER ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75644",
            "telephone_number": "903-843-2996",
            "fax_number": "903-843-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W TYLER ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75644",
            "telephone_number": "903-843-2996",
            "fax_number": "903-843-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M TAYLOR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-843-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "794829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.