Amy L Taylor, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4884 Issued in NM

Practice address

42D Medical Group
300 S. Twinning St. BLDG 760
Maxwell Afb, AL 36112

Phone

(513) 460-3877

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Amy L Taylor Professional name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Dentist

Education

Ohio State University College of Dentistry, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lutheran Social Services of Central Ohio, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1801317102
  Medicare reassignment NPD
• Lutheran Social Services of Central Ohio Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1437621331
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1750467957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42D MEDICAL GROUP",
            "address_2": "300 S TWINNING ST. BLDG. 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-3368",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42D MEDICAL GROUP",
            "address_2": "300 S. TWINNING ST. BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "513-460-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021784",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2417763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TAYLOR",
            "middle_name": "L",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Francene Stohler, ARNP
• Jordan Taylor Stouffer, M.D.
• Matthew J Streitz, M.D.
• Amber Sutton, LICSW
• Jolyn Inez Tatum, PHD
• Bridget Anne Thill, M.D.
• Malia Silva Thomas, CRNP, FNP
• Mark K Thomas, IDMT
• Alison Bees Thompson, LCSW
• Paul A Tilton, M.D.

• Dentist in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.