Individual provider Active NPI

Gregory David Taylor, M.D., D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Southlake, TX
National Provider Identifier
1851358956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20815 Issued in TX
Practice address
1422 Main St
Suite 240
Southlake, TX 76092-7625
Phone
(817) 424-1166
Fax
(817) 416-0700
NPI assigned
May 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20815 TX Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X L5584 TX

Addresses

Primary practice location

1422 Main St
Suite 240
Southlake, TX 76092-7625

Mailing address

1422 Main St
Suite 240
Southlake, TX 76092-7625
Phone (817) 424-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160602002451 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0648560623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20815TXMDPharmacist
L5584TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Oral Surgery Oral & Maxillofacial Surgery PastSince Mar 3, 2024 Accepting new patients
Oms Physicians Group PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851358956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 MAIN ST",
            "address_2": "SUITE 240",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927625",
            "telephone_number": "817-424-1166",
            "fax_number": "817-416-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 MAIN ST",
            "address_2": "SUITE 240",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927625",
            "telephone_number": "817-424-1166",
            "fax_number": "817-416-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20815",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "L5584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.