NPIMap

Organization Active NPI

Taylor Dental Clinic

  • Dental Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1740574060
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE 00008680 Issued in WA
Legal business name
TAYLOR DENTAL CLINIC
Practice address
860 S 2ND Ave Ste a
Walla Walla, WA 99362-4072
Phone
(509) 529-2000
Fax
(509) 529-4590
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. Kelly E Taylor, D.M.D.NPI 1467403253
Title
President
Phone
(509) 529-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE 00008680 WA Primary

Addresses

Primary practice location

860 S 2ND Ave Ste a
Walla Walla, WA 99362-4072

Mailing address

860 S 2ND Ave Ste a
Walla Walla, WA 99362-4072
Phone (509) 529-2000

National Provider Directory

National Provider Directory

Locations

860 S 2nd Ave
Ste A
Walla Walla, WA 99362
Phone (509) 529-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1740574060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S 2ND AVE STE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624072",
            "telephone_number": "509-529-2000",
            "fax_number": "509-529-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S 2ND AVE STE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624072",
            "telephone_number": "509-529-2000",
            "fax_number": "509-529-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-529-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 00008680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.