Individual provider Active NPI

Stuart Taylor, DDS

  • Dentist
  • Federal Way, WA
National Provider Identifier
1790936730
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60019062 Issued in WA
Practice address
34709 9TH Ave S
Suite B-300
Federal Way, WA 98003-8722
Phone
(253) 874-2583
Fax
(253) 874-2583
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60019062 WA Primary

Addresses

Primary practice location

34709 9TH Ave S
Suite B-300
Federal Way, WA 98003-8722

Mailing address

6506 27TH Ave NW
Seattle, WA 98117
Phone (253) 874-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000837 WA Practitioner - Oral Surgery 0244390201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60019062WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington Current Accepting new patients
University of Washington Dentist CurrentSince Jul 24, 2017 Accepting new patients
University of Washington CurrentSince Jul 24, 2017 Accepting new patients

Locations

1959 NE Pacific St
#B221
Seattle, WA 98195
Phone (206) 685-2937

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

6222 NE 74th St
Bldg 25
Seattle, WA 98115
Phone (206) 543-5860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1790936730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 27TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "253-874-2583",
            "fax_number": "253-874-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S",
            "address_2": "SUITE B-300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038722",
            "telephone_number": "253-874-2583",
            "fax_number": "253-874-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60019062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.