Individual provider Active NPI

Emmanuel Taylor, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • New Philadelphia, OH
National Provider Identifier
1750574166
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.026657 Issued in OH
Practice address
1456 Kaderly St NW
New Philadelphia, OH 44663-1243
Phone
(330) 364-8665
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.026657 OH Primary

Addresses

Primary practice location

1456 Kaderly St NW
New Philadelphia, OH 44663-1243

Mailing address

1456 Kaderly St NW
New Philadelphia, OH 44663-1243
Phone (330) 364-8665

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

LicenseStateTypeSpecialty
30.026657OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel C. Taylor, DDS, LLC: Oral and Maxillofacial Surgery CurrentSince Jan 2, 2022 Accepting new patients
Tuscarawas Oral & Maxillofacial Surgery, Inc. Oral and Maxillofacial Surgery CurrentSince Jan 2, 2022 Accepting new patients
Pacific Maxillofacial Center, LLC PastSince Jun 15, 2014 Accepting new patients
Pacific Maxillofacial Center, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1456 Kaderly St NW
New Philadelphia, OH 44663
Phone (216) 364-8665

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1750574166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.026657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.