Individual provider Active NPI

Caadrian Norman Taylor, DDS

  • Pediatric Dentistry
  • Columbus, OH
National Provider Identifier
1760863872
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30024933 Issued in OH
Practice address
5770 N Hamilton Rd Ste a
Columbus, OH 43230
Phone
(614) 475-5439
Fax
(614) 476-8558
NPI assigned
Jun 15, 2015
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30024933 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X DRP1397 FL

Addresses

Primary practice location

5770 N Hamilton Rd Ste a
Columbus, OH 43230

Mailing address

5770 N Hamilton Rd Ste a
Columbus, OH 43230-1326
Phone (614) 475-5439

Other practice location 1

3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (305) 418-7771

Other practice location 2

3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (305) 418-7771

Other practice location 3

5715 N Hamilton Rd
Columbus, OH 43230
Phone (614) 475-5439

Other identifiers 1

IdentifierTypeStateIssuer
0207346MedicaidOH

Other names 1

  • Caadrian Norman Former name

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
30024933OHMDPediatric Dentist
DRP1397FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1760863872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 N HAMILTON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301326",
            "telephone_number": "614-475-5439",
            "fax_number": "614-476-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 N HAMILTON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-475-5439",
            "fax_number": "614-476-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-418-7771",
            "fax_number": "305-418-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-418-7771",
            "fax_number": "305-418-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5715 N Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43230",
            "country_code": "US",
            "telephone_number": "614-475-5439",
            "fax_number": "614-476-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAADRIAN",
        "middle_name": "NORMAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30024933",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRP1397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207346",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAADRIAN",
            "last_name": "NORMAN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.