Active NPI
John Stephen Taylor, DDS
- Dentist
- Henderson, TX
National Provider Identifier
1699873448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11737
- Practice address
- 1910 State Highway 43 E
Henderson, TX 75652-9106 - Phone
- (903) 657-3139
- Fax
- (903) 655-0699
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11737 | TX | Primary |
Addresses
Primary practice location
1910 State Highway 43 E
Henderson, TX 75652-9106
Mailing address
1910 State Highway 43 E
Henderson, TX 75652-9106
Phone (903) 657-3139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11737 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Furqueron & Jackson Dentistry Partnership | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Henderson, TX
- NPI 1780992586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1699873448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 STATE HIGHWAY 43 E",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756529106",
"telephone_number": "903-657-3139",
"fax_number": "903-655-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 STATE HIGHWAY 43 E",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756529106",
"telephone_number": "903-657-3139",
"fax_number": "903-655-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "D11737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.