Active NPI
Taylor Provost, DDS
- General Practice Dentistry
- North Olmsted, OH
National Provider Identifier
1922737790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.027952
- Practice address
- 24834 Lorain Rd
North Olmsted, OH 44070-2048 - Phone
- (440) 925-5255
- NPI assigned
- Jun 7, 2022
- Last updated
- Nov 7, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38613 | TX | |
| General Practice Dentistry | 1223G0001X | 30.027952 | OH | Primary |
Addresses
Primary practice location
24834 Lorain Rd
North Olmsted, OH 44070-2048
Mailing address
240 Fox Hollow Dr Apt 200
Mayfield Heights, OH 44124-6104
Phone (281) 684-6539
Other practice location 1
2701 Pearland Pkwy Ste 120
Pearland, TX 77581-5946
Phone (281) 485-9200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38613 | TX | MD | Clinical Psychologist |
| 30.027952 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurasmile Dental North Olmsted Inc. LLC | Multi-Specialty | Past | Accepting new patients |
| Professional Dental Alliance, LLC | Multi-Specialty | 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": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1922737790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 FOX HOLLOW DR APT 200",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246104",
"telephone_number": "281-684-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24834 LORAIN RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440702048",
"telephone_number": "440-925-5255"
}
],
"practiceLocations": [
{
"address_1": "2701 Pearland Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775815946",
"country_code": "US",
"telephone_number": "281-485-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROVOST",
"first_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38613",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.027952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.