Active NPI
Robert Clark Taylor, D.M.D
- General Practice Dentistry
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8755
- Practice address
- 800 Rose Street RM D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297 - Phone
- (859) 323-9707
- Fax
- (859) 257-5859
- NPI assigned
- May 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8755 | KY | Primary |
| Dentist | 122300000X | 8755 | KY |
Addresses
Primary practice location
800 Rose Street RM D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297
Mailing address
800 Rose Street RM D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297
Phone (859) 323-9707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100201790 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8755 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Taylor DMD, PLLC | General Practice | Current | Accepting new patients |
| University of Kentucky | Dentist | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients |
Locations
435 Whirlaway Dr
Danville, KY 40422
Phone (859) 236-4304
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- General Practice Dentistry
- Danville, KY
- NPI 1356042410
-
- Dentist
- Lexington, KY
- NPI 1306929385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1689808909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE STREET RM D104",
"address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-9707",
"fax_number": "859-257-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE STREET RM D104",
"address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360297",
"telephone_number": "859-323-9707",
"fax_number": "859-257-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8755",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100201790",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.