Individual provider Active NPI

Philip O Taylor I

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1730297920
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16543 Issued in TX
Practice address
1210 W Braker Lane
Austin, TX 78758-3308
Phone
(512) 978-9880
Fax
(512) 279-2556
NPI assigned
Aug 28, 2006
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 16543 TX Primary

Addresses

Primary practice location

1210 W Braker Lane
Austin, TX 78758-3308

Mailing address

15 Waller St
Attn: Finance, 5TH Floor
Austin, TX 78702-5240
Phone (512) 978-9000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16543TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1730297920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "address_2": "ATTN: FINANCE, 5TH FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-978-9000",
            "fax_number": "512-978-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583308",
            "telephone_number": "512-978-9880",
            "fax_number": "512-279-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PHILIP",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.