Active NPI
Jennifer Winchester Taylor, D.D.S.
- Dentist
- Tarboro, NC
National Provider Identifier
1730475872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9116
- Practice address
- 104 Hospital Dr
Tarboro, NC 27886-2012 - Phone
- (252) 823-0551
- Fax
- (252) 823-0552
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- 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 | 9116 | NC | Primary |
Addresses
Primary practice location
104 Hospital Dr
Tarboro, NC 27886-2012
Mailing address
104 Hospital Dr
Tarboro, NC 27886-2012
Phone (252) 823-0551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160114002924 | NC | Order and Referring Only - Dentist | 9537462197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerry W. Price D.D.S.-P.a. | Past | Accepting new patients | |
| Jennifer W. Taylor, DDS, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Tarboro, NC
- NPI 1831436344
-
- General Practice Dentistry
- Tarboro, NC
- NPI 1346313038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1730475872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HOSPITAL DR",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862012",
"telephone_number": "252-823-0551",
"fax_number": "252-823-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HOSPITAL DR",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862012",
"telephone_number": "252-823-0551",
"fax_number": "252-823-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"middle_name": "WINCHESTER",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarboro, NC
- Tarboro Opco LLC
- Tarboro Operating Company LLC
- Tarboro Pediatric Psychology PLLC
- Tarboro Psychosocial Rehabilitation
- Tarboro Women'S Center PA
- Meridith Matthis Taylor, M.D.
- Eleanor Paige Temple, PH.D.
- Tender Touch Home Care Services, Co
- Stephanie Ann Tharrington, RDH, BSDH, BA
- The George Lee Jones Foundation Home LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.