Individual provider Active NPI

Taylor J Robinson, DDS

  • General Practice Dentistry
  • Provo, UT
National Provider Identifier
1881827871
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7366264-8903 Issued in UT
Practice address
2476 N University Pkwy
Ste. 101
Provo, UT 84604-3868
Phone
(801) 373-2060
Fax
(801) 375-6155
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7366264-8903 UT Primary

Addresses

Primary practice location

2476 N University Pkwy
Ste. 101
Provo, UT 84604-3868

Mailing address

2476 N University Pkwy
Ste. 101
Provo, UT 84604-3868
Phone (801) 373-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7366264-8903UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1881827871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 N UNIVERSITY PKWY",
            "address_2": "STE. 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043868",
            "telephone_number": "801-373-2060",
            "fax_number": "801-375-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 N UNIVERSITY PKWY",
            "address_2": "STE. 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043868",
            "telephone_number": "801-373-2060",
            "fax_number": "801-375-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TAYLOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7366264-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.