Active NPI
Jordan H Taylor, D.M.D
- Dentist
- Warrior, AL
National Provider Identifier
1730594201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6096
- Practice address
- 309 Louisa St
Warrior, AL 35180-1448 - Phone
- (205) 647-2050
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 2014
- Sex
- Male
- 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 | 6096 | AL | Primary |
Addresses
Primary practice location
309 Louisa St
Warrior, AL 35180-1448
Mailing address
309 Louisa St
Warrior, AL 35180-1448
Phone (205) 647-2050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6096 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonecreek Acquisitions, LLC | Dentist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1730594201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 LOUISA ST",
"city": "WARRIOR",
"state": "AL",
"postal_code": "351801448",
"telephone_number": "205-647-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 LOUISA ST",
"city": "WARRIOR",
"state": "AL",
"postal_code": "351801448",
"telephone_number": "205-647-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JORDAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrior, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.