NPIMap

Organization Active NPI

Scott M Taylor, DDS

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1891760468
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCOTT M TAYLOR, DDS
Practice address
2901 E Zion Rd
Suite 12
Fayetteville, AR 72703-5070
Phone
(479) 251-7000
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. Scott Matthew Taylor, DDSNPI 1770558355
Title
Owner
Phone
(479) 251-7000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2901 E Zion Rd
Suite 12
Fayetteville, AR 72703-5070

Mailing address

2901 E Zion Rd
Suite 12
Fayetteville, AR 72703-5070
Phone (479) 251-7000

Other identifiers 1

IdentifierTypeStateIssuer
139120631MedicaidAR

Other names 1

  • Sunshine Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2901 E Zion Rd
Ste 12
Fayetteville, AR 72703
Phone (479) 251-7000

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": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1891760468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E ZION RD",
            "address_2": "SUITE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035070",
            "telephone_number": "479-251-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E ZION RD",
            "address_2": "SUITE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035070",
            "telephone_number": "479-251-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M TAYLOR, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-251-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139120631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

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