Nicholas Michael Taylor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30023709 Issued in OH

Practice address

150 Health Partners Cir
Mount Orab, OH 45154-8610

Phone

(937) 444-2514

Fax

(937) 444-8012

NPI assigned

Jul 14, 2011

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1760770507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HEALTH PARTNERS CIR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548610",
            "telephone_number": "937-444-2514",
            "fax_number": "937-444-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9087",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Physiotherapy & Performance, LLC
• Mia Niccole Swayne, FNP-C
• Cindy Lynn Tackett, LMT
• Jan Tarvin, QMHS
• Naquida Leisha Taylor, D.D.S
• Tara Lee Taylor, CDCA
• Christian Danielle Teal
• Kaleigh Teegarden
• Brandi Thatcher-Pottebaum
• The Little Clinic of Ohio LLC

• General Practice Dentistry in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.