Individual provider Active NPI

Taylor Campbell Kauffman, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New Braunfels, TX
National Provider Identifier
1740951037
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
37809 Issued in TX
Practice address
2009 S Walnut Ave Ste 101
New Braunfels, TX 78130-2016
Phone
(830) 730-4440
Fax
(830) 730-4426
NPI assigned
Sep 26, 2021
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 37809 TX Primary

Addresses

Primary practice location

2009 S Walnut Ave Ste 101
New Braunfels, TX 78130-2016

Mailing address

1960 Round Table
New Braunfels, TX 78130-8383
Phone (832) 538-6867

Other practice location 1

14034 Nacogdoches Rd
San Antonio, TX 78247-1929
Phone (210) 293-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001605 TX Order and Referring Only - DentistPractitioner - Dentist 5092175919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
TCK Holdings PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 21, 2021 Accepting new patients

Locations

2009 S Walnut Ave
Ste 101
New Braunfels, TX 78130
Phone (830) 730-4440

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": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1740951037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 ROUND TABLE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781308383",
            "telephone_number": "832-538-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 S WALNUT AVE STE 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302016",
            "telephone_number": "830-730-4440",
            "fax_number": "830-730-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14034 Nacogdoches Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782471929",
            "country_code": "US",
            "telephone_number": "210-293-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "TAYLOR",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-26",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.