Active NPI
Terry D Taylor, DDS MS
- Oral & Maxillofacial Surgery (D.M.D.)
- Houston, TX
National Provider Identifier
1891797130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 13953
- Practice address
- 6560 Fannin St
Ste 614
Houston, TX 77030-2727 - Phone
- (713) 790-1995
- Fax
- (713) 790-9562
- NPI assigned
- Jun 1, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 13953 | TX | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13953 | TX |
Addresses
Primary practice location
6560 Fannin St
Ste 614
Houston, TX 77030-2727
Mailing address
6560 Fannin St
Ste 614
Houston, TX 77030-2727
Phone (713) 790-1995
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135026604 | Other | TX | CIDC ID |
| 135026603 | Medicaid | TX | |
| D13953 | Other | TX | BCBS ID |
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: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13953 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients | |
| Lighthouse Surgical Holdings PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
6560 Fannin St
Ste 614
Houston, TX 77030
Phone (713) 790-1995
Interoperability endpoints
- ttaylor32263@directhoustonmethodist.org
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Houston, TX
- NPI 1477128395
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1891797130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "STE 614",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302727",
"telephone_number": "713-790-1995",
"fax_number": "713-790-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "STE 614",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302727",
"telephone_number": "713-790-1995",
"fax_number": "713-790-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TERRY",
"middle_name": "D",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "13953",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "13953",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIDC ID",
"identifier": "135026604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135026603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "D13953",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.