Russell T Taylor PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6121 Issued in AZ

Legal business name

RUSSELL T TAYLOR PLLC

Practice address

4210 N 32ND St
Phoenix, AZ 85018-4723

Phone

(602) 957-0075

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Russell Taylor, DMDNPI 1669532214

Title

Owner/Doctor

Phone

(602) 957-0075

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Russell Todd Taylor, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1669532214
  NPD (past) Authorized official

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1720474851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184723",
            "telephone_number": "602-957-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL T TAYLOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "602-957-0075",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittani Rusnak, RN
• Casey Russ, M.ED. BCBA LBA
• Jessica Russ, CCP
• Craig William Russel, MD
• Russell Hays
• Adrian Anita Russell, LASAC
• Alison Russell
• Ann C Russell, MA, CCC-SLP
• Ashlyn Russell, RBT
• Bernadine L Russell, RN

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.