Active NPI
Caadrian Norman Taylor, DDS
- Pediatric Dentistry
- Columbus, OH
National Provider Identifier
1760863872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30024933
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207346 | Medicaid | OH |
Other names 1
- Caadrian Norman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30024933 | OH | MD | Pediatric Dentist |
| DRP1397 | FL | MD | Student 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.