Individual provider Active NPI

Meredith Duckworth Taylor, DENTIST

  • General Practice Dentistry
  • Holly Springs, NC
National Provider Identifier
1700813466
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7601 Issued in NC
Practice address
190 Rosewood Centre Dr
Suite #200
Holly Springs, NC 27540-9451
Phone
(919) 290-2772
Fax
(919) 290-2773
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7601 NC Primary

Addresses

Primary practice location

190 Rosewood Centre Dr
Suite #200
Holly Springs, NC 27540-9451

Mailing address

190 Rosewood Centre Dr
Suite #200
Holly Springs, NC 27540-9451
Phone (919) 290-2772

Other identifiers 1

IdentifierTypeStateIssuer
89902VVMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 30, 2014 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Family Dentistry PastSince Apr 30, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700813466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ROSEWOOD CENTRE DR",
            "address_2": "SUITE #200",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409451",
            "telephone_number": "919-290-2772",
            "fax_number": "919-290-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ROSEWOOD CENTRE DR",
            "address_2": "SUITE #200",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409451",
            "telephone_number": "919-290-2772",
            "fax_number": "919-290-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MEREDITH",
        "middle_name": "DUCKWORTH",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902VV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.