Daniel Taylor

Primary specialty

DentistTaxonomy code 122300000X

License

9230 Issued in SC

Practice address

3681 Spivey St
Loris, SC 29569-2838

Phone

(843) 756-5747

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Gwyn Gordon McCutchen Inc

  • Dentist
  • Loris, SC
  • NPI 1801914122
  NPD (past)
• Loris Family Dentistry, LLC

  • Dentist
  • Loris, SC
  • NPI 1104272996
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1750862405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 WYCLIFFE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 SPIVEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692838",
            "telephone_number": "843-756-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295823016",
            "country_code": "US",
            "telephone_number": "843-491-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strand Regional Specialty
• Tiffany Dee Strickland
• Susan M Stuber, MD
• Symposium Emergency Physicians, LLC
• Emily Takach
• Elizabeth Taylor
• Edward Wesley Teal Jr., DMD
• Edward Francis Terrien, M.D.
• Brian James Thacker, DO
• Mackenzie Jones Thompkins

• Dentist in Loris, SC
• Providers in Loris, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.