Nathaniel M. Taylor, DMD, LLC.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22807 Issued in OH

Legal business name

NATHANIEL M. TAYLOR, DMD, LLC.

Practice address

6391 Royalton Rd Ste a
North Royalton, OH 44133-4922

Phone

(440) 457-1221

Fax

(440) 457-1223

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Cindy Janik

Title

Insurance Coordinator

Phone

(440) 457-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Royalton Family Dental Doing business as

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780109348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 ROYALTON RD STE A",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334922",
            "telephone_number": "440-457-1221",
            "fax_number": "440-457-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 ROYALTON RD STE A",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334922",
            "telephone_number": "440-457-1221",
            "fax_number": "440-457-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL M. TAYLOR, DMD, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JANIK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "440-457-1221"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "22807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1598920589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Royalton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.