Kimberly Misako Taylor, EFDA, EFODA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1900 McLoughlin Blvd Ste 68
Oregon City, OR 97045-1072

Phone

(503) 387-8000

Fax

(503) 387-8005

NPI assigned

Sep 15, 2011

Last updated

Sep 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Kaiser Permanente

  • Dental Clinic/Center
  • Oregon City, OR
  • NPI 1093097958
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1841572716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MCLOUGHLIN BLVD STE 68",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MCLOUGHLIN BLVD STE 68",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451072",
            "telephone_number": "503-387-8000",
            "fax_number": "503-387-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "MISAKO",
        "credential": "EFDA, EFODA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTDA",
            "identifier": "126800000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Li Tang
• Deyla Tappan
• Jamaica Young Tarter, LMT
• Chelsea Taylor, CRM
• Elizabeth Louise Taylor, MSW, LCSW
• Trina Taylor
• Ashley Terleski, MSW, QMHP
• Daniel William Thaxton, CRM
• The Boss Clinic LLC
• The Fathers Heart Street Ministry

• Dental Assistant in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.