Organization Active NPI

Jennifer W. Taylor, DDS, PA

  • Dentist
  • Tarboro, NC
National Provider Identifier
1831436344
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9116 Issued in NC
Legal business name
JENNIFER W. TAYLOR, DDS, PA
Practice address
104 Hospital Dr
Tarboro, NC 27886-2012
Phone
(252) 823-0551
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Jennifer W Taylor, D.D.SNPI 1730475872
Title
President
Phone
(252) 823-0551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9116 NC Primary

Addresses

Primary practice location

104 Hospital Dr
Tarboro, NC 27886-2012

Mailing address

104 Hospital Dr
Tarboro, NC 27886-2012
Phone (252) 823-0551

National Provider Directory

National Provider Directory

Locations

104 Hospital Dr
Tarboro, NC 27886
Phone (252) 823-0551

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1831436344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862012",
            "telephone_number": "252-823-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862012",
            "telephone_number": "252-823-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER W. TAYLOR, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-823-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.