Taylor Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3609 Issued in ID

Legal business name

TAYLOR FAMILY DENTISTRY

Practice address

3271 N Milwaukee St Ste 3
Boise, ID 83704-4427

Phone

(208) 658-0859

Fax

(208) 658-0893

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Brandon Taylor, DMDNPI 1760451306

Title

Owner

Phone

(208) 658-0859

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brandon L Taylor, DMD

  • General Practice Dentistry
  • Boise, ID
  • NPI 1760451306
  NPD (past) Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1700048204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 N MILWAUKEE ST STE 3",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044427",
            "telephone_number": "208-658-0859",
            "fax_number": "208-658-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 N MILWAUKEE ST STE 3",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044427",
            "telephone_number": "208-658-0859",
            "fax_number": "208-658-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-658-0859",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "3609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806330700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Anne Tate, RPH
• Kimberly Tate
• Nancy Lynn Tate, PA-C
• Rachael Tatko
• Ethan Alexander Taub, D.O.
• Benedict James Winston Taylor, MD
• Brandon L Taylor, DMD
• Brian W Taylor
• Dylan Taylor, P-PRC
• Ekaterina Alex Taylor, FNP-C

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.